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Sample records for care crisis mother

  1. The infant caring process among Cherokee mothers.

    Science.gov (United States)

    Nichols, Lee Anne

    2004-09-01

    The purpose of this study was to identify the social process of infant care among Cherokee mothers. Nineteen informants, who had an infant less than 2 years of age, were interviewed. The data were analyzed using the technique of constant comparative analysis. A social process of Indian infant care among Cherokee mothers was identified. Eight concepts emerged from data analysis. The first and principal concept, being a Cherokee mother, describes the functions of being an Indian mother in Cherokee society. The other seven concepts describe the patterns of cultural care the mothers provided to their infants. These included accommodating everyday infant care, accommodating health perspectives, building a care-providing consortium, living spiritually, merging the infant into Indian culture, using noncoercive discipline techniques, and vigilantly watching for the natural unfolding of the infant. Trustworthiness and credibility of the generated theory were evaluated through multiple measures. PMID:15296577

  2. The mood variation in mothers of preterm infants in Kangaroo mother care and conventional incubator care.

    Science.gov (United States)

    de Macedo, Elizeu Coutinho; Cruvinel, Fernando; Lukasova, Katerina; D'Antino, Maria Eloisa Famá

    2007-10-01

    Preterm babies are more prone to develop disorders and so require immediate intensive care. In the conventional neonatal intensive care, the baby is kept in the incubator, separated from the mother. Some actions have been taken in order to make this mother-child separation less traumatic. One of these actions is the Kangaroo mother care (KMC) characterized by skin-to-skin contact between a mother and her newborn. The objective of this study was to compare the mood variation of mothers enrolled in the KMC program to those in the conventional incubator care. In one general hospital in Sao Paulo, Brazil, 90 mothers were evaluated before and after contact with the baby in the Neonatal Intensive Care Unit. The participants were divided into three groups: 30 mothers of term newborns (TG), 30 mothers of preterm infants included in KMC program (PGK) and 30 preterms with incubator placement (PGI). The Brazilian version of the Visual Analogue Mood Scale (VAMS) was used for the assessment before and after the infant's visit. Results showed that TG mothers reported fewer occurrences of depressive states than PGK and PGI mothers. A significant mood variation was observed for PGK and PGI after the infant's visit. PGK mothers reported feeling calmer, stronger, well-coordinated, energetic, contented, tranquil, quick-witted, relaxed, proficient, happy, friendly and clear-headed. The only variation showed by PGI mothers was an increase in feeling clumsy. This study shows a positive effect of the KMC on the mood variation of preterm mothers and points to the need of a more humane experience during the incubator care. PMID:17881409

  3. Reviewing the definition of crisis in dementia care

    Directory of Open Access Journals (Sweden)

    Vroomen Janet MacNeil

    2013-02-01

    Full Text Available Abstract Background Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice. Methods We systematically searched for articles containing definitions of crisis in the context of dementia care. We created an operational framework of crisis based on retrieved definitions. Recommendations to address crisis situations were reviewed and classified according to care settings. Results Abstracts and titles of 1,113 articles, screened from PubMed and EMBASE, were narrowed down to 27 articles. After review, crisis in dementia was defined as a process where a stressor causes an imbalance requiring an immediate decision to be made which leads to a desired outcome and therefore a resolution of the crisis. If the crisis is not resolved, the cycle continues. Recommendations for resolving crisis involving persons with dementia and their caregivers include awareness therapy after diagnosis and increased contact with general practitioners, case manager consultations, caregiver support and education. Furthermore, nursing home staff should be attuned to the environmental, physical and psychological needs of persons with dementia. Conclusions This is the first article to review the definition of crisis in the context of dementia care. A review of the literature indicated that the definition of a crisis is idiosyncratic. Therefore, it is difficult to prevent or plan for all crises. We used an operational framework to compile types of crisis stressors and recommendations from the crisis literature based on three different perspectives; the person with the dementia, the caregiver and the healthcare providers.

  4. California's Child Care Crisis: A Crime Prevention Tragedy.

    Science.gov (United States)

    Lee, Brian

    This report compiles recent research showing that quality child care and early education can greatly reduce crime and argues that California is in the middle of a child care crisis, with a shortage of quality, affordable care. Chapter 1 of the report presents research showing that at-risk children who participate in quality child care programs are…

  5. Gendered Capital: Emotional Capital and Mothers' Care Work in Education

    Science.gov (United States)

    O'Brien, Maeve

    2008-01-01

    This paper is concerned with the inequalities experienced by mothers in the performance of educational care work for their children. It is argued that the caring work carried out by mothers at transfer to second-level schooling is shaped by their ability to activate the significant resource of emotional capital; a gendered resource involving…

  6. Nonstandard Work and Child Care Choices of Married Mothers

    OpenAIRE

    Jean Kimmel; Lisa Powell

    2006-01-01

    The focus of this paper is to examine the interplay between nonstandard employment (i.e., shift work) and child care choice decisions of married mothers with young children. We contribute to the child care choice literature by examining the impact of nonstandard work on the child care choice decisions of mothers taking into account the likely endogeneity of nonstandard work. Also, we examine the extent to which child care prices simultaneously affect work status (no work versus standard work ...

  7. Between stigma and mother-blame: blind mothers' experiences in USA hospital postnatal care.

    Science.gov (United States)

    Frederick, Angela

    2015-11-01

    This study examines instances of discrimination that blind mothers in the USA have experienced at the hands of doctors, nurses and social workers during hospital postnatal care. The author identifies postnatal care as the time when blind mothers are likely to face the most stigmatising interactions with medical staff, as it is when scepticism about their competence as mothers is at its height. The author argues these interactions must be understood within their institutional context in which ideologies of risk and mother-blame are embedded in hospital postnatal practices.

  8. [Knowledge of oral health and practices among mothers attending a mother-child dental care program].

    Science.gov (United States)

    Moura, Lúcia de Fátima Almeida de Deus; de Moura, Marcoeli Silva; de Toledo, Orlando Ayrton

    2007-01-01

    This study assesses the assimilation of knowledge and preventive practices in oral health among the mothers of children assisted by a mother-child dental care program. The Preventive Program for Pregnant Mothers and Babies (PPPMB) is an extension project run by the Piauí Federal University (UFPI), whose goal is to make pregnant women and mothers of children from zero to 36 months old more concerned about habits fostering oral health. After a random selection of clinical record cards for children who had participated in this Program, letters were sent to their mothers. Feedback was received from 281 mothers, who responded through interviews that included questions on matters addressed by the Program. The findings indicate that mothers attending this Program were properly informed, adopting hygienic practices in their families that underpin the control and prevention of oral diseases. PMID:17680166

  9. Teaching child-care skills to mothers with developmental disabilities.

    OpenAIRE

    Feldman, M A; Case, L.; Garrick, M; MacIntyre-Grande, W; Carnwell, J; Sparks, B

    1992-01-01

    The present study identified and remediated child-care skill deficits in parents with developmental disabilities to reduce their risk of child neglect. Eleven mothers with developmental disabilities who were considered by social service and child welfare agencies to be providing neglectful child care were found in baseline to have several important child-care skill deficits (e.g., bathing, diaper rash treatment, cleaning baby bottles) compared to nonhandicapped mothers. Parent training (consi...

  10. Child Care Arrangements Of Working Mothers

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    Singh H

    1993-01-01

    Full Text Available Children arrangements for infants and preschool children and the reasons for working outside the home were studied in 300 mothers of whom 100 were teachers (Group. I 100 clerks (groups II and 100 tabourers (Group III. The interview method was used. The most common (80% reason for working was financial needs, the next most frequent was utilization of specialized skills. In 58.7% of the cases, substitute childcare was provided by one of the family members, usually the grandmother. Sixty six percent of caretakers were illiterate. Most (93% of the working mothers had also to perform certain household chores. Bottle-feeding was stated at birth by 80% of these mothers: Childcare arrangements for children of working mothers must be considered in the future.

  11. Young mothers in care, contributing to the contemporary debate

    OpenAIRE

    Reeves, Jane

    2008-01-01

    Teenage pregnancy has become a broad issue in contemporary society and has become a focus for concern for young women in or exiting the care system. The article draws on interviews with twenty-four young mothers in, or on the fringes of the care system. It highlights the thoughts and feelings of these young women, specifically looking at the relationships that they have with their mothers, the father of their baby and their social workers. The mothers' sources of support and their perceptions...

  12. Child Care Subsidy Receipt, Employment, and Child Care Choices of Single Mothers

    OpenAIRE

    Tekin, Erdal

    2004-01-01

    This paper examines the impact of actual subsidy receipt of single mothers on their joint employment and child care mode decisions in the post-welfare reform environment, which places a high priority on parental choice with the quality and type of care chosen. Results indicate that single mothers are highly responsive to child care subsidies by increasing their employment while moving from parental and relative care to center care in the process.

  13. The effect of kangaroo mother care on mental health of mothers with low birth weight infants

    OpenAIRE

    Zohreh Badiee; Salar Faramarzi; Tahereh MiriZadeh

    2014-01-01

    Background: The mothers of premature infants are at risk of psychological stress because of separation from their infants. One of the methods influencing the maternal mental health in the postpartum period is kangaroo mother care (KMC). This study was conducted to evaluate the effect of KMC of low birth weight infants on their maternal mental health. Materials and Methods: The study was conducted in the Department of Pediatrics of Isfahan University of Medical Sciences, Isfahan, Iran. Pre...

  14. The effect of kangaroo mother care on mental health of mothers with low birth weight infants

    Directory of Open Access Journals (Sweden)

    Zohreh Badiee

    2014-01-01

    Full Text Available Background: The mothers of premature infants are at risk of psychological stress because of separation from their infants. One of the methods influencing the maternal mental health in the postpartum period is kangaroo mother care (KMC. This study was conducted to evaluate the effect of KMC of low birth weight infants on their maternal mental health. Materials and Methods: The study was conducted in the Department of Pediatrics of Isfahan University of Medical Sciences, Isfahan, Iran. Premature infants were randomly allocated into two groups. The control group received standard caring in the incubator. In the experimental group, caring with three sessions of 60 min KMC daily for 1 week was practiced. Mental health scores of the mothers were evaluated by using the 28-item General Health Questionnaire. Statistical analysis was performed by the analysis of covariance using SPSS. Results: The scores of 50 infant-mother pairs were analyzed totally (25 in KMC group and 25 in standard care group. Results of covariance analysis showed the positive effects of KMC on the rate of maternal mental health scores. There were statistically significant differences between the mean scores of the experimental group and control subjects in the posttest period (P < 0.001. Conclusion: KMC for low birth weight infants is a safe way to improve maternal mental health. Therefore, it is suggested as a useful method that can be recommended for improving the mental health of mothers.

  15. Kangaroo mother care: a systematic review of barriers and enablers

    OpenAIRE

    Chan, Grace J; Labar, Amy S; Wall, Stephen; Atun, Rifat

    2015-01-01

    Abstract Objective To investigate factors influencing the adoption of kangaroo mother care in different contexts. Methods We searched PubMed, Embase, Scopus, Web of Science and the World Health Organization’s regional databases, for studies on “kangaroo mother care” or “kangaroo care” or “skin-to-skin care” from 1 January 1960 to 19 August 2015, without language restrictions. We included programmatic reports and hand-searched references of published reviews and articles. Two independent revie...

  16. Kangaroo mother care: a systematic review of barriers and enablers

    OpenAIRE

    Chan, Grace J; Labar, Amy S; Wall, Stephen; Atun, Rifat

    2016-01-01

    Abstract Objective: To investigate factors influencing the adoption of kangaroo mother care in different contexts. Methods: We searched PubMed, Embase, Scopus, Web of Science and the World Health Organization’s regional databases, for studies on “kangaroo mother care” or “kangaroo care” or “skin-to-skin care” from 1 January 1960 to 19 August 2015, without language restrictions. We included programmatic reports and hand-searched references of published reviews and articles. Two independent rev...

  17. Cultural care practices among mothers of nurslings with respiratory infection

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    Dayanne Rakelly de Oliveira

    2012-06-01

    Full Text Available Objective: To understand the cultural practices of care among mothers of infants with respiratory infection in a pediatric outpatient clinic, from the recognition of the importance of the use of traditional medicine in Brazil. Methods: We applied a descriptive and exploratory study, qualitative, with twenty-eight mothers of infants with respiratory infection seen at a referral center in the city of Barbalha - CE, Brazil. Data were collected between the monthsof November and December of 2010 through semi-structured interview with a tape recorder. The speeches were analyzed by thematic-categorical analysis, which allowed the creation of four themes: cultural practices of care among mothers, sources of information on medicinal plants, modes of preparation of medicinal herbs and plants used by mothers. To ensure anonymity of participants, they received enumeration following the order of interviews. Results: The study showed that mothers make use of folk medicine, through the preparationof home remedies in order to treat and cure respiratory infections of their children; the leaking tea and herbal medicine are worth mentioning. Mothers place great confidence and give real meaning to the use of homemade preparations. It was observed that this knowledge comes from their mothers, grandparents, relatives and neighbors. Conclusion: Mothersattach great importance to popular practice, the traditional knowledge of relevant culturalvalue, as it is transmitted from generation to generation and has been rebuilt over time.

  18. Child Care Arrangements Of Working Mothers

    OpenAIRE

    Singh H.; Raizada N; Soni R.K; Gill P J S

    1993-01-01

    Children arrangements for infants and preschool children and the reasons for working outside the home were studied in 300 mothers of whom 100 were teachers (Group. I) 100 clerks (groups II) and 100 tabourers (Group III). The interview method was used. The most common (80%) reason for working was financial needs, the next most frequent was utilization of specialized skills. In 58.7% of the cases, substitute childcare was provided by one of the family members, usually the grandmot...

  19. Who cares?: ???Working mothers???, childminders and childcare

    OpenAIRE

    O'Hagan, Clare

    2012-01-01

    Childcare is central to women???s ability to participate in paid work. Drawing on empirical research conducted with middle class ???working mothers???1 in an Irish suburb2, this article examines these women???s childcare arrangements and their relationships with the women who mind their children in the context of the State???s childcare policy and provisions. The failure of the State to regulate small scale childminders maintains childcare as a predominantly private affair, which can result i...

  20. Drug shortages: a complex health care crisis.

    Science.gov (United States)

    Fox, Erin R; Sweet, Burgunda V; Jensen, Valerie

    2014-03-01

    National tracking of drug shortages began in 2001. However, a significant increase in the number of shortages began in late 2009, with numbers reaching what many have termed crisis level. The typical drug in short supply is a generic product administered by injection. Common classes of drugs affected by shortages include anesthesia medications, antibiotics, pain medications, nutrition and electrolyte products, and chemotherapy agents. The economic and clinical effects of drug shortages are significant. The financial effect of drug shortages is estimated to be hundreds of millions of dollars annually for health systems across the United States. Clinically, patients have been harmed by the lack of drugs or inferior alternatives, resulting in more than 15 documented deaths. Drug shortages occur for a variety of reasons. Generic injectable drugs are particularly susceptible to drug shortages because there are few manufacturers of these products and all manufacturers are running at full capacity. In addition, some manufacturers have had production problems, resulting in poor quality product. Although many suppliers are working to upgrade facilities and add additional manufacturing lines, these activities take time. A number of stakeholder organizations have been involved in meetings to further determine the causes and effects of drug shortages. A new law was enacted in July 2012 that granted the Food and Drug Administration additional tools to address the drug shortage crisis. The future of drug shortages is unknown, but there are hopeful indications that quality improvements and additional capacity may decrease the number of drug shortages in the years to come.

  1. Privatisation & marketisation of post-birth care: the hidden costs for new mothers

    Directory of Open Access Journals (Sweden)

    Benoit Cecilia

    2012-10-01

    Full Text Available Abstract Retrenchment of government services has occurred across a wide range of sectors and regions. Care services, in particular, have been clawed away in the wake of fiscal policies of cost containment and neoliberal policies centred on individual responsibility and market autonomy. Such policies have included the deinstitutionalisation of care from hospitals and clinics, and early discharge from hospital, both of which are predicated on the notion that care can be provided informally within families and communities. In this paper we examine the post-birth "care crisis" that new mothers face in one region of Canada. Method The data are drawn from a larger study of social determinants of pregnant and new mothers' health in Victoria, Canada. Mixed methods interviews were conducted among a purposive sample of women at three points in time. This paper reports data on sample characteristics, length of stay in hospital and health service gaps. This data is contextualised via a more in-depth analysis of qualitative responses from Wave 2 (4-6 weeks postpartum. Results Out results show a significant portion of participants desired services that were not publically available to them during the post-birth period. Among those who reported a gap in care, the two most common barriers were: cost and unavailability of home care supports. Participants' open-ended responses revealed many positive features of the public health care system but also gaps in services, and economic barriers to receiving the care they wanted. The implications of these findings are discussed in relation to recent neoliberal reforms. Discussion & conclusions While Canada may be praised for its public provision of maternity care, mothers' reports of gaps in care during the early postpartum period and increasing use of private doulas is a worrying trend. To the extent that individual mothers or families rely on the market for care provision, issues of equity and quality of care are

  2. Unmarried at delivery. I. The mothers and their care.

    Science.gov (United States)

    Henriques, J; Golding, J; Thomas, P

    1986-12-01

    Information on 934 never married mothers (Single) were compared with 301 who were widowed, divorced or separated (Once-married) and 15 225 who were married at the time of delivery and were part of the 1970 British Births Survey. Once the maternal age and parity differences had been taken into account the major findings concerned the mothers' health behaviour and the obstetric care they received. Single and Once-married mothers were markedly less likely than the Married group to have used contraceptives in the 18 months before conception, to know accurately the date of the last menstrual period, to commence antenatal care before the third trimester, and to attend antenatal or parentcraft classes. Both groups were more likely to smoke, the Once-married group having an especially high rate of heavy smokers. Single mothers were more likely to be anaemic during pregnancy and the Once-married to have a history of bleeding. Both groups were more likely to be delivered in a consultant unit. Relatively high proportions of Single and Once-married mothers had delivered without any pain relief. PMID:3803266

  3. Malaysian mothers' knowledge & practices on care of neonatal jaundice.

    Science.gov (United States)

    Boo, N Y; Gan, C Y; Gian, Y W; Lim, K S L; Lim, M W; Krishna-Kumar, H

    2011-08-01

    This study aimed to determine the gaps of knowledge and practices of care of neonatal jaundice among Malaysian mothers. It was a cross sectional study of 400 mothers who attended the obstetric clinics or were admitted to the obstetric wards of a general hospital. They were surveyed with a structured set of questionnaire. The results showed that a majority (93.8%) of them knew about neonatal jaundice, and 71.7% knew that jaundice lasting more than 2 weeks was abnormal. However, only 34.3% of them were aware that jaundice appearing during the first 36 hours of life was abnormal. Less than 20% knew about glucose-6-phosphate dehydrogenase deficiency and that fetal-maternal blood group differences could cause jaundice. Although 71.7% and 69.7%, respectively, of the mothers knew that severe jaundice could cause death and brain damage, only 38.4% of them were aware that severe jaundice could result in hearing impairment. A very low proportion (27.1%) of them was aware that putting jaundiced infants under the direct sun could result in dehydration and worsening of jaundice. Out of a maximum score of 15, the mean maternal knowledge score was 7.4 (95% confidence intervals: 7.1, 7.7). Majority (83.1%) of the multiparous mothers with a past history of having children developing neonatal jaundice (n = 154) practiced placing their infants under the direct sun. This study revealed that there was a wide knowledge gap among Malaysian mothers on care of neonatal jaundice. Placing infants under the direct sun was still a common practice. PMID:22111448

  4. Contrasting experiences with child health care services by mothers and professional caregivers in transitional housing.

    Science.gov (United States)

    Amen, Maisha M; Pacquiao, Dula F

    2004-07-01

    The study examined experiences of mothers and health care providers with preventive child health care services using qualitative methods at a primary care clinic located in transitional housing for homeless families in an urban community with predominantly Black American residents. Participants were 20 mothers and 4 health care professionals. Three major domains emerged: (a). the infrastructure of the clinic and health care delivery poses barriers to mothers' access and use of services for their children; (b). specialized, biomedical-driven care produces fragmented care delivery not responsive to the comprehensive nature of problems of mothers and their children; and (c). organizational strategies for improving access and use of health care services are directed by health care providers' value orientations. Findings support existence of infrastructural characteristics of the health care system that maintains differential value orientations and power structure, and care delivery processes that are non responsive to racially diverse and poor mothers.

  5. The Effect of Kangaroo Mother Care Immediately after Delivery on Mother-infant Attachment 3 Months after Delivery

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    Fatemeh Zahra Karimi

    2016-09-01

    Full Text Available Background  The aim of this study was determine the effect of kangaroo mother care (KMC immediately after delivery on mother-infant attachment 3-month after delivery. Materials and Methods: In this RCT study, 72 mother-infant pairs were randomly divided in to kangaroo mother care and routine care groups.The intervention group received kangaroo mother care (KMC in the first two hours post birth. The control group just received routine hospital care. Mothers in the intervention group were encouraged to keep the baby in KMC as much as possible during the day and night throughout the neonatal period. Participants were followed up for three months after birth. The Main outcome measure was mother-infant attachment at 3 months postpartum and maternal anxiety about the baby at the same time. The data was collected by questionnaire (demographic information of parents and neonates and maternal attachment scale. Analysis was performed using SPSS software (version 14. Results: There was no significant difference between two groups regarding their baseline data. Mean maternal attachment score in the KMC group and in the routine care group at three months after delivery was 52.40±3.30 and 49.86±4.18 respectively, which was significantly higher in the KMC group (P

  6. Relationship Quality in Non-Cognitively Impaired Mother-Daughter Care Dyads: A Systematic Review.

    Science.gov (United States)

    Solomon, Diane N; Hansen, Lissi; Baggs, Judith G; Lyons, Karen S

    2015-11-01

    More than 60 million Americans provide care to a family member; roughly two thirds are women providing care to aging mothers. Despite the protective nature of relationship quality, little attention has been given to its role in mother-daughter care dyads, particularly in mothers without cognitive impairment. A systematic appraisal of peer-reviewed, English language research was conducted. Nineteen articles met criteria. When relationship quality is positive, mother-daughter dyads enjoy rewards and mutuality, even when conflict occurs. Daughters grow more emotionally committed to mothers' over the care trajectory, despite increasing demands. Daughters' commitment deepens as mothers physically decline, and mothers remain engaged, emotional partners. When relationship quality is ambivalent or negative, burden, conflict, and blame conspire, creating a destructive cycle. Avenues for continuing study, including utilizing the dyad as the unit of analysis, troubled dyads, longitudinal assessment, and end of life context, are needed before interventions to improve mother-daughter relationship quality may be successfully implemented.

  7. Reconciliation of work and care among lone mothers of adults with intellectual disabilities: the role and limits of care capital.

    Science.gov (United States)

    Chou, Yueh-Ching; Kröger, Teppo

    2014-07-01

    In this study, the concept of social capital is applied to an exploration of Guanxi (social networking to create good relationships) among working lone mothers of adults with intellectual disabilities (ID) in Taiwan. Using in-depth interviews, this study explores the role of social capital, here referred to as 'care capital', in making it possible for working lone mothers to combine their roles as family carers and workers. Eleven divorced or widowed mothers combining their paid work with long-term care responsibilities were recruited from a survey or through NGOs and were interviewed at their home between October 2008 and July 2010. An interpretative phenomenological approach was adopted for data analysis. The findings revealed that the mothers' care capital was extremely limited and was lost, gained and lost again during their life-cycles of long-term care-giving. Guanxi, especially in relation to their employers, proved to be the sole source of care capital for these mothers, making reconciliation between work and care responsibilities possible. In the absence of formal or informal support, religion and the mother-child relationship seemed also to become a kind of care capital for these lone mothers, helping them to get by with their life-long care responsibilities. For formal social and healthcare services, not just in Taiwan but in every country, it is important to develop support for lone mothers of adults with ID who have long-term care responsibilities and low levels of care capital and thus face care poverty.

  8. Critical views on postpartum care expressed by new mothers

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    Waldenström Ulla

    2007-11-01

    Full Text Available Abstract Background Women's evaluation of hospital postpartum care has consistently been more negative than their assessment of other types of maternity care. The need to further explore what is wrong with postpartum care, in order to stimulate changes and improvements, has been stressed. The principal aim of this study was to describe women's negative experiences of hospital postpartum care, expressed in their own words. Characteristics of the women who spontaneously gave negative comments about postpartum care were compared with those who did not. Methods Data were taken from a population-based prospective longitudinal study of 2783 Swedish-speaking women surveyed at three time points: in early pregnancy, at two months, and at one year postpartum. At the end of the two follow-up questionnaires, women were asked to add any comment they wished. Content analysis of their statements was performed. Results Altogether 150 women gave negative comments about postpartum care, and this sample was largely representative of the total population-based cohort. The women gave a diverse and detailed description of their experiences, for instance about lack of opportunity to rest and recover, difficulty in getting individualised information and breastfeeding support, and appropriate symptom management. The different statements were summarised in six categories: organisation and environment, staff attitudes and behaviour, breastfeeding support, information, the role of the father and attention to the mother. Conclusion The findings of this study underline the need to further discuss and specify the aims of postpartum care. The challenge of providing high-quality follow-up after childbirth is discussed in the light of a development characterised by a continuous reduction in the length of hospital stay, in combination with increasing public demands for information and individualised care.

  9. Caring during crisis: animal welfare during pandemics and natural disasters.

    Science.gov (United States)

    Millman, Suzanne T

    2008-01-01

    From April 29 to May 1, 2007, the University of Guelph hosted a symposium, Caring During Crisis: Animal Welfare During Pandemics and Natural Disasters, with the objectives (a) of raising awareness about how nonhuman animals and the people who care for them are affected during emergencies and (b) of sharing knowledge about how animal welfare may be addressed during these situations. The symposium attracted 150 participants, representing 71 organizations from across Canada, the United States, the United Kingdom, Australia, Chile, and the Cayman Islands. The audience also brought a range of perspectives to the issues - from individuals representing animal protection and commodity organizations to municipal government officials responsible for community safety and correctional services; many of these individuals had little or no animal experience. To take advantage of this diverse audience and range of interests, the symposium was structured with formal presentations by internationally recognized experts, followed by panel discussions at the end of each session to facilitate contributions by the audience. At the conclusion of the 3 days, it was clear that our emotional, economic, and ecological relationships with animals require thoughtful integration of animal care within formal policy and planning for emergency response. PMID:18444029

  10. Experience of mothers in the care of children with type 1 diabetes

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    Elis Mayre da Costa Silveira Martins

    2013-05-01

    Full Text Available Descriptive qualitative study aimed to understand the experience of mothers in the care of type 1 diabetic children in a unit of Tertiary Reference in Diabetes, located in Fortaleza, Ceará, Brazil. Data were collected through semi-structured interviews with 12 mothers of diabetic children, aged 3-12 years. The results were analyzed using the techniques of thematic analysis of Bardin, with these highlighted categories: multiple feeling generated in the impact of the diagnosis; mother facing the competitiveness of affection among the children, the experience of the mother in the expansion of the locus daily care. Conclusion: the disease affects the whole family, and the burden of care falls on the mother in all aspects of the disease, professional support is necessary, once the assistance provided by the mother goes beyond the diabetic child care related to metabolic control.

  11. Immigrant mothers and access to prenatal care: evidence from a regional population study in Italy

    OpenAIRE

    Chiavarini, Manuela; Lanari, Donatella; Minelli, Liliana; Pieroni, Luca; Salmasi, Luca

    2016-01-01

    Objectives We addressed the question of whether use of adequate prenatal care differs between foreign-born and Italian mothers and estimated the extent to which unobservable characteristics bias results. Setting This study is on primary care and especially on adequate access to prenatal healthcare services by immigrant mothers. Participants Approximately 37 000 mothers of both Italian and foreign nationality were studied. Data were obtained from the Standard Certificate of Live Birth between ...

  12. Respite Care for Single Mothers of Children with Autism Spectrum Disorders

    Science.gov (United States)

    Dyches, Tina Taylor; Christensen, Ruthann; Harper, James M.; Mandleco, Barbara; Roper, Susanne Olsen

    2016-01-01

    Single mothers of children with autism spectrum disorders are rarely studied, yet they may experience unique stressors. Researchers asked 122 single mothers to complete questionnaires concerning respite care, daily hassles/uplifts, depression, and caregiver burden. More than half (59.8%) accessed respite care, which was provided for 1h per day,…

  13. Effect of Kangaroo Mother Care on Growth and Morbidity Pattern in Low Birth Weight Infants

    OpenAIRE

    Keerti Swarnkar; Jayanta Vagha

    2016-01-01

    Background: Kangaroo Mother Care (KMC) is dened as skin-to-skin contact between a mother and her newborn baby derived from practical similarities to marsupial care giving, proximately exclusive breastfeeding and early discharge from hospital. This concept was proposed as an alternative to conventional methods of care for low birth weight (LBW) infants, and in replication to quandaries of earnest overcrowding in Neonatal Intensive Care Units (NICUs). KMC essentially...

  14. National Suicide Prevention Lifeline: Enhancing Mental Health Care for Suicidal Individuals and Other People in Crisis

    Science.gov (United States)

    Gould, Madelyn S.; Munfakh, Jimmie L. H.; Kleinman, Marjorie; Lake, Alison M.

    2012-01-01

    Linking at-risk callers to ongoing mental health care is a key goal of crisis hotline interventions that has not often been addressed in evaluations of hotlines' effectiveness. We conducted telephone interviews with 376 suicidal and 278 nonsuicidal crisis callers to the National Suicide Prevention Lifeline (Lifeline) to assess rates of mental…

  15. [Monitoring and Care of Expectant Mothers with Epilepsy].

    Science.gov (United States)

    Watanabe, Masako; Honda, Masayuki

    2015-01-01

    Women with epilepsy are exposed to social stigma, and they have anxiety and lose self-confidence in their social role as a woman. Psychiatrists, especially female psychiatrists, are able to support them. Important considerations are: 1) Pre-pregnant counseling; Physicians give appropriate advice and guidance. We need to provide the latest information on the teratogenicity of AEDs, and replace them with a safer combination of AEDs BEFORE pregnancy. Folate supplementation is also recommended. 2) Management during pregnancy: Patients are advised to adhere to taking AEDs as instructed, which prevents not only seizures during pregnancy but also reduces the risk of miscarriage and premature delivery. Doses of AED are to be increased after the second trimester. 3) Collaborating with obstetricians at delivery: Obstetricians are also nervous when faced with women with epilepsy. Basically, patients can deliver spontaneously, and the correct way to deal with unexpected seizures during labor should be fully understood. 4) Parental care: women with epilepsy can breastfeed. Physicians advise other family members on how to bottle feed at night to help mothers avoid a lack of sleep due to breastfeeding. Childcare is one of the most precious experiences in life. Patients with epilepsy, especially women, have a lower self-esteem; however, once they experience delivery, they act positively and become even-tempered. Physicians should be aware that childcare fosters a profound insight into their lives, allowing them to mature as a person. PMID:26901892

  16. Mothers in postdivorce families caring for a child with cystic fibrosis.

    Science.gov (United States)

    Ganong, Lawrence; Doty, Mary Ellen; Gayer, Debra

    2003-10-01

    This study explored the experiences of mothers of children with cystic fibrosis (CF) in postdivorce family structures. In-depth interviews of mothers were conducted by registered nurses with expertise in CF. Interviews focused on responsibility for care of the CF child within the context of postdivorce families (e.g., extent of nonresidential fathers' involvement in children's care, communication between households). Interviews were audiotaped and transcribed verbatim. The constant comparison method was used for analyzing interview data. Marital transitions contributed to the closeness between mothers and children with CF, but they also added to the mothers' sense of being overwhelmed with responsibilities. It is likely that children and mothers are more at risk for stress-related problems when mothers are overburdened by the demands of caregiving, earning a living, and other responsibilities.

  17. Maternal Depressive Symptoms and Child Behavior Problems among Latina Adolescent Mothers: The Buffering Effect of Mother-Reported Partner Child Care Involvement

    Science.gov (United States)

    Smith, Erin N.; Grau, Josefina M.; Duran, Petra A.; Castellanos, Patricia

    2013-01-01

    We examined the relations between maternal depressive symptoms and child internalizing and externalizing problems in a sample of 125 adolescent Latina mothers (primarily Puerto Rican) and their toddlers. We also tested the influence of mother-reported partner child care involvement on child behavior problems and explored mother-reported partner…

  18. Economic crisis and counter-reform of universal health care systems: Spanish case

    Science.gov (United States)

    Fortes, Paulo Antônio de Carvalho; Carvalho, Regina Ribeiro Parizi; Louvison, Marília Cristina Prado

    2015-01-01

    The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, and to pharmaceutical assistance. In crisis situations, reforms are observed to follow a trend which restricts rights and deepens social inequalities. PMID:26083942

  19. Economic crisis and counter-reform of universal health care systems: Spanish case

    Directory of Open Access Journals (Sweden)

    Paulo Antônio de Carvalho Fortes

    2015-01-01

    Full Text Available The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, and to pharmaceutical assistance. In crisis situations, reforms are observed to follow a trend which restricts rights and deepens social inequalities.

  20. Economic crisis and counter-reform of universal health care systems: Spanish case.

    Science.gov (United States)

    Fortes, Paulo Antônio de Carvalho; Carvalho, Regina Ribeiro Parizi; Louvison, Marília Cristina Prado

    2015-01-01

    The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, and to pharmaceutical assistance. In crisis situations, reforms are observed to follow a trend which restricts rights and deepens social inequalities. PMID:26083942

  1. [An analysis of psychosocial care for adolescents in crisis based on their therapeutic itineraries].

    Science.gov (United States)

    Pereira, Melissa de Oliveira; Sá, Marilene de Castilho; Miranda, Lilian

    2014-10-01

    This study analyzes the care provided to adolescents in crisis in a municipality in Greater Metropolitan Rio de Janeiro, Brazil. The article reports on a qualitative health study that used Therapeutic Itinerary and Life Narratives as the methodological resources. The principal theoretical reference was psychoanalyst René Kaës. Based on the adolescents' own verbal accounts, the study aimed to grasp the collective realities that could potentially shed light on the different types of logic and professional practices applied to care for adolescents in psychosocial crisis situations. The underlying assumption was that an approach to the dialectical nature of the crisis required maintaining a framework that would allow establishing a space for transition within which to develop the necessary conditions for disruptive and paradoxical elements to be elaborated. However, crisis care in the context studied here proved to be hampered by infrastructure issues, institutional rigidity, and fragmentation of activities, with little orientation towards inter-sector work. PMID:25388317

  2. Care to child with muscular dystrophies dependent of home technology: mothers´ conception

    Directory of Open Access Journals (Sweden)

    Fabíola Sousa de Oliveira

    2013-05-01

    Full Text Available It was aimed to understand the mother's conception on care to child with muscular dystrophies dependent on technology. Descriptive study with qualitative approach carried out in a children's hospital of the tertiary net in Fortaleza-Ceará, Brazil, as well as in homes of children with muscular dystrophy assisted by the Home Ventilation Assistance Program. The informants were mothers of children with dystrophy aged between zero and four years old, admitted in the Special Patients Unit and assisted by this program. We performed semi-structured interviews and after analysis, the following categories emerged: Care of children with muscular dystrophy and Feelings and expectations of mothers of children with muscular dystrophy. We identified that some mothers consider the child's daily life within the normal patterns, and others report difficulties, creating anxiety and fear of death. Thus, we verify the importance of nurses in the training of these mothers for directed care enabling to overcome stressful moments.

  3. Physical and Mental Health of Mothers Caring for a Child with Rett Syndrome

    Science.gov (United States)

    Laurvick, Crystal L.; Msall, Michael E.; Silburn, Sven; Bower, Carol; de Klerk, Nicholas; Leonard, Helen

    2007-01-01

    Objectives: Our goal was to investigate the physical and mental health of mothers who care for a child with Rett syndrome. Methods: We assessed maternal physical and mental health by using the SF-12 version 1 physical component summary and mental component summary scores as the outcome measures of interest. Mothers (n = 135) of children with Rett…

  4. Disadvantaged Single Teenage Mothers and Their Children: Consequences of Free Educational Day Care.

    Science.gov (United States)

    Campbell, Frances A.; And Others

    1986-01-01

    Examined the benefits of providing free educational day care to children of single teen-age mothers. Results indicated that the children benefitted intellectually from the program, scoring significantly higher than controls on a general cognitive index. Mothers had an increased likelihood of completing high school, obtaining postsecondary…

  5. Making Work Fit Care: Reconciliation Strategies Used by Working Mothers of Adults with Intellectual Disabilities

    Science.gov (United States)

    Chou, Yueh-Ching; Fu, Li-yeh; Chang, Heng-Hao

    2013-01-01

    Background: This study explored the experiences of working mothers with an adult child with intellectual disabilities to understand how they reconcile paid work and care responsibilities. Methods: Fifteen working mothers in Taiwan with an adult child with intellectual disabilities were interviewed, and an interpretative phenomenological approach…

  6. Economic crisis and counter-reform of universal health care systems: Spanish case

    OpenAIRE

    Paulo Antônio de Carvalho Fortes; Regina Ribeiro Parizi Carvalho; Marília Cristina Prado Louvison

    2015-01-01

    The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, ...

  7. It's Not Your Mother and Father's Monetary Policy Anymore: The Federal Reserve and Financial Crisis Relief

    Science.gov (United States)

    Hill, Andrew T.; Wood, William C.

    2011-01-01

    The recent financial crisis brought about dramatic changes in the way that the Federal Reserve, the nation's central bank, conducts monetary policy. One challenge for high school educators going forward will be to strike a balance between the teaching of traditional monetary policy and the teaching of the monetary policy used during these…

  8. Nursing and humanistic care to mothers as they face neonatal death

    OpenAIRE

    Leiliane Martins Farias; Janaína Gondim Freire; Edna Maria Camelo Chaves; Ana Ruth Macedo Monteiro

    2012-01-01

    The aim of this study was to investigate the feelings of mothers facing the death of her newborn child and describe the family support as well as nursing care to the mothers. This is a qualitative, exploratory and descriptive study. The subjects were 11 mothers with children hospitalized in a Neonatal Intensive Care Unit of a public hospital in Fortaleza, who had a neonatal death. Data was collected in October and November 2010 through a semi-structured interview and organized into three cate...

  9. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    OpenAIRE

    Aysha Almas; Ayaz Ghouse; Ahmed Raza Iftikhar; Munawwar Khursheed

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had un...

  10. Kangaroo Mother Care as compared to conventional care for low birth weight babies

    Directory of Open Access Journals (Sweden)

    Syed Manazir Ali

    2009-01-01

    Full Text Available Aim: To study the efficacy of Kangaroo mother care (KMC as compared to conventional care for low birth weight babies.Materials and Methods: A randomized controlled trial was done on 114 neonates, delivered at Jawaharlal Nehru Medical College (JNMCH Aligarh India (March’ 2006 to September’ 2007 by vaginal route and weighing ≤1800 grams at birth –58 neonates received KMC for 6-8 hours/ day in 4-6 sessions while 56 neonates in control group received conventional care (radiant warmers, cots in warm room. Efficacy was measured in terms of effect on growth, physiological parameters, length of hospital stay, morbidity, mortality and exclusive breastfeeding rates.Results: KMC and conventional groups were similar with regard to maternal and birth characteristics. Better weight gain per day (19.3± 3.8 g vs.10.4±4.8 g, p<0.001, significant reduction in respiratory rate (p<0.001, rise in rectal temperature and oxygen saturation (p<0.001, shorter duration of hospital stay (13.7±8.9 days vs. 15.0±10.3 days, lower incidence of nosocomial sepsis (6.9% vs. 23.2% p=0.014 and severe infection (p=0.003 and higher exclusive breastfeeding rates (p<0.01 were seen in infants receiving KMC. No statistically significant difference was seen between the two groups in terms of mortality.Conclusion: Kangaroo mother care results in better weight gain, decreases the risk of serious infections and hypothermia, stabilizes physiolo-gical parameters, decreases the hospital stay, promotes breast feeding and has no adverse effect on growth and mortality in LBW babies.

  11. Perceptions of mothers and hospital staff of paediatric care in 13 public hospitals in northern Tanzania

    DEFF Research Database (Denmark)

    Mwangi, Rose; Chandler, Clare; Nasuwa, Fortunata;

    2008-01-01

    and equipment are established problems but our findings also highlight a need for wards to become more parent-friendly, particularly with regard to food, hygiene and space. Training programmes focused on professional conduct and awareness of the problems that mothers face in seeking and receiving care may......User and provider perceptions of quality of care are likely to affect both use and provision of services. However, little is known about how health workers and mothers perceive the delivery of care in hospital paediatric wards in Africa. Paediatric staff and mothers of paediatric inpatients were...... interviewed to explore their opinions and experience of the admission process and conditions on the ward. Overcrowding, unsanitary conditions and lack of food were major concerns for mothers on the ward, who were deterred from seeking treatment earlier due to fears that hospital admission posed a significant...

  12. Nonmaternal Care's Association With Mother's Parenting Sensitivity: A Case of Self-Selection Bias?

    Science.gov (United States)

    Nomaguchi, Kei M; Demaris, Alfred

    2013-06-01

    Although attachment theory posits that the use of nonmaternal care undermines quality of mothers' parenting, empirical evidence for this link is inconclusive. Using data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N = 1,233), the authors examined the associations between nonmaternal care characteristics and maternal sensitivity during the first 3 years of children's lives, with special attention to selection effects and moderation by resource levels. Findings from fixed-effects regression models suggested that, on average, there is little relationship between nonmaternal care characteristics and maternal sensitivity, once selection factors are held constant. Some evidence of moderation effects was found, however. Excellent-quality care is related to more sensitivity for mothers with lower family income. Poor-quality care is related to lower sensitivity for single mothers, but not partnered mothers. In sum, nonmaternal care characteristics do not seem to have as much influence on mothers' parenting as attachment theory claims. PMID:23772093

  13. Perceived and performed infant care competence of younger and older adolescent mothers.

    Science.gov (United States)

    Secco, M Loretta; Ateah, Christine; Woodgate, Roberta; Moffatt, Michael E K

    2002-01-01

    The investigators examined differences in perceived and performed infant care competence for younger (less than 17 years of age) and older (17 to 19 years of age) adolescent mothers. Associations were tested between perceived infant care competence measured at several time points and performed mothering at 12 to 18 months infant age. A convenience sample of 78 adolescent mothers was recruited from two major teaching hospitals in Winnipeg, Canada. The Infant Care Questionnaire (ICQ), a self-report measure of infant care ability, was completed during the 3rd trimester and the 1st and 4th postnatal weeks. Performed mothering was assessed with Caldwell's HOME scale administered in the adolescent mother's home when the infant was 12 to 18 months old. Significant increases in competence perceptions over time were demonstrated for both ICQ subscales, the Mom&Baby, F(2, 47) = 22.73, p = 0.000, and Emotionality, F(2, 47) = 43.16, p = 0.000. This increase in infant care competence mirrors the maternal role competence trajectory reported in studies with older mothers. While no significant age group differences were found for Mom&Baby or Emotionality, older adolescent mothers were rated significantly higher on one of the HOME subscales, Variety in Daily Stimulation, t(n = 45), = 2.12, p =.04, and a second approached significance, Responsiveness, t(n = 45) = 1.86, p =.07. Pearson correlations between the Mom&Baby and Emotionality and the HOME subscales, Responsiveness and Environment, ranged between -0.30 and -0.37. Future research is required to further explain the negative correlations between perceived and performed infant care competence, establish clinical validity of self-report methods with adolescent mothers, and assess the influence of social, cultural, and economic factors not considered in this study. PMID:12060517

  14. CenteringParenting: an innovative dyad model for group mother-infant care.

    Science.gov (United States)

    Bloomfield, Joanna; Rising, Sharon Schindler

    2013-01-01

    CenteringParenting is a group model that brings a cohort of 6 to 7 mothers and infants together for care during the first year of life. During 9 group sessions the clinician provides well-baby care and also attends to the health, development, and safety issues of the mother. Ideally, CenteringParenting provides continuity of care for a cohort of women who have received care in CenteringPregnancy, group prenatal care that is 10 sessions throughout the entire pregnancy and that leads to community building, better health outcomes, and increased satisfaction with prenatal care. The postpartum year affects the entire family, but especially the mother, who is redefining herself and her own personal goals. Issues of weight/body image, breastfeeding, depression, contraception, and relationship issues all may surface. In traditional care, health resources for support and intervention are frequently lacking or unavailable. Women's health clinicians also note the loss of contact with women they have followed during the prenatal period, often not seeing a woman again until she returns for another pregnancy. CenteringParenting recognizes that the health of the mother is tied to the health of the infant and that assessment and interventions are more appropriate and efficient when done in a dyad context. Facilitative leadership, rather than didactic education, encourages women to fully engage in their care, to raise issues of importance to them, and to discuss concerns within an atmosphere that allows for the surfacing of culturally appropriate values and beliefs. Implementing the model calls for system changes that are often significant. It also requires the building of a substantial team relationship among care providers. This overview describes the CenteringParenting mother-infant dyad care model with special focus on the mother and reviews the perspectives and experiences of staff from several practice sites.

  15. Employment and Child Care Decisions of Mothers and the Well-being of their Children

    OpenAIRE

    Raquel Bernal

    2004-01-01

    This paper develops and estimates a dynamic model of employment and child care decisions of women after birth in order to evaluate the effects of mothers' decisions on children's cognitive ability. I use data from the NLSY to estimate the model. The results suggest that the effects of maternal employment and child care use on children's cognitive ability are rather sizeable. In fact, having a full-time working mother who uses child care during the first 5 years after the birth of the child is...

  16. The influence of child care on maternal health and mother-child interaction

    OpenAIRE

    Kröll, Alexandra; Borck, Rainald

    2013-01-01

    In Germany, formal child care coverage rates have increased markedly over the past few decades. The expansion in coverage is particularly pronounced for under 3 year-olds. The present paper is concerned with how mothers' mental and physical health is affected by whether they place their child in formal day care or not. Furthermore, the effects of formal child care usage on mother-child interaction are examined. The analysis is based on data from the German Socio-Economic Panel for the years 2...

  17. Labor Supply Heterogeneity and Demand for Child Care of Mothers with Young Children

    NARCIS (Netherlands)

    Apps, Patricia F.; Kabátek, J.; Rees, Ray; van Soest, A.H.O.

    2012-01-01

    This paper introduces a static structural model of hours of market labor supply, time spent on child care and other domestic work, and bought in child care for married or cohabiting mothers with pre-school age children. The father's behavior is taken as given. The main goal is to analyze the sensiti

  18. Adjusting to motherhood: maternity care assistance during the postpartum period: how to help new mothers cope.

    NARCIS (Netherlands)

    Wiegers, T.A.

    2006-01-01

    The overall aim of postpartum care is to detect health problems of the mother and/or baby at an early stage, to encourage breastfeeding and to give families a good start. This paper presents an overview of recent literature about postpartum care in several developed countries and elaborates on the D

  19. Disposition and Health Outcomes among Infants Born to Mothers with No Prenatal Care

    Science.gov (United States)

    Friedman, Susan Hatters; Heneghan, Amy; Rosenthal, Miriam

    2009-01-01

    Objective: This study assessed infant disposition and health outcomes among offspring born to mothers without prenatal care, based on maternal characteristics and the reason for lack of prenatal care (i.e., denial of pregnancy, concealment of pregnancy, primary substance use, financial barriers and multiparity). Methods: A retrospective record…

  20. Child Care, Work, and Depressive Symptoms among Low-Income Mothers

    Science.gov (United States)

    Press, Julie; Fagan, Jay; Bernd, Elisa

    2006-01-01

    Focusing on social factors associated with increased depressive symptoms among working mothers living in poor urban neighborhoods, this study investigates the effects of welfare participation, employment conditions, and child care on women's emotional well-being. The authors use new data from the Philadelphia Survey of Child Care and Work.…

  1. Mother

    Institute of Scientific and Technical Information of China (English)

    付玉涛

    2010-01-01

    @@ 1.You You quarreled with her mother.She was very angry and ran out of home.优优跟妈妈吵了一架,赌气跑了出去. 2.She walked to a noodle shop.And she felt a little hungry.她来到一个拉面铺前,才感到自己有些饿了.

  2. Using group therapy to support eating disordered mothers with their children: the relevance for primary care

    OpenAIRE

    Barnett, Sarah; Buckroyd, Julia; Windle, Karen

    2006-01-01

    Eating disorders are a crippling and disabling condition. If they become chronic, the emotional, physical and social effects are substantial. The death rate is the highest of all psychiatric illnesses so the need to find prevention strategies is urgent. This research project has three aims, primary prevention of an eating disorder for the child, helping the mother recover and developing a protocol for a group to be used in primary care. Children of mothers with an eating disorder, are a prove...

  3. Care to child with muscular dystrophies dependent of home technology: mothers´ conception

    OpenAIRE

    Fabíola Sousa de Oliveira; Viviane Mamede Vasconcelos; Mariana Cavalcante Martins; Ingrid Martins Leite Lúcio

    2013-01-01

    It was aimed to understand the mother's conception on care to child with muscular dystrophies dependent on technology. Descriptive study with qualitative approach carried out in a children's hospital of the tertiary net in Fortaleza-Ceará, Brazil, as well as in homes of children with muscular dystrophy assisted by the Home Ventilation Assistance Program. The informants were mothers of children with dystrophy aged between zero and four years old, admitted in the Special Patients Unit and assis...

  4. Medicaid and the labor supply of single mothers: Implications for health care reform

    OpenAIRE

    Pohl, Vincent

    2015-01-01

    The Patient Protection and Affordable Care Act expands Medicaid and in-troduces health insurance subsidies, thereby changing work incentives for single mothers. To undertake an ex ante policy evaluation of the employment effects of the PPACA, I structurally estimate a model of labor supply and health in-surance choice exploiting existing variation in Medicaid policies. Simulations show that single mothers increase their labor supply at the extensive and the intensive margin by six and five pe...

  5. CARE SEEKING BEHAVIOUR OF MOTHERS DURING ILLNESS OF NEWBORN IN URBAN SLUMS OF LUCKNOW CITY.

    Directory of Open Access Journals (Sweden)

    P Gupta

    2012-10-01

    Full Text Available Objectives: To study the knowledge of mothers about recognition of danger signs and care seeking behaviour during illness of newborn child in urban slums of Lucknow city, UP. Methods : A cross- sectional study in Urban slums of Lucknow city, UP included 524 women who had a live birth during last one year preceding data collection. The data was tabulated on Microsoft Excel sheet and analyzed using the software SPSS 10.0 for Windows. Results : Study findings showed that Majority (76.9% of the mothers said that if the baby was very cold to touch or running temperature is a danger sign during newborn period followed by absence of sucking (68.9% in previously sucking newborn as danger sign. Majority (71.9% of the mothers consulted local doctor for any problem during neonatal period. Only 12 percent of the mothers approached Govt. doctor for the treatment . It was observed that Hing was given by 86.2 percent mothers in case of stomachache. 82.8 percent mothers had given salt and sugar solutions in the case of diarrhoea\t. Conclusion: In majority of cases correct knowledge and care seeking behaviour during illness of newborn were lacking among mothers and this should be promoted through improved coverage with existing health services.

  6. The life-world of mothers who care for mentally retarded children: the Katutura township experience

    Directory of Open Access Journals (Sweden)

    A.M. Ntswane

    2007-09-01

    Full Text Available This article reports on a research study done in Katutura Township, near Windhoek. A qualitative, exploratory, descriptive and contextual design was followed to answer the research question investigating experiences of mothers caring for mentally retarded children at home. Phenomenological interviews were conducted with a purposefully selected sample of twelve mothers. The meaning of their experiences was analysed by using Teschxs method (1990 in Creswell, 1994:155 of analysing qualitative data. The results indicated various emotions and challenges experienced by these mothers during the care of their children. Feelings of shock, despondency and sadness dominated the early stages when the retarded children were still young. During later years, as the children were growing up, the mothers felt shame, fear, frustration, anger, disappointment and worry. However, acceptance followed, as the children grew older. Stigma seemed to affect all the respondents. Support in any form or lack thereof seemed to be the decisive factor-positioning mothers along a continuum of two extremes, namely despairing isolation and integrated happiness. Recommendations were made regarding the improvement of heath care services and education of the mothers and their families.

  7. The Day Care Challenge: The Unmet Needs of Mothers and Children.

    Science.gov (United States)

    Keyserling, Mary Dublin

    An overview of the present shortage of day care facilities in the United States is presented in this speech. Statistics cited on the number of working mothers with children under the age of 6 and the number of day care licensed homes and centers show that the shortage of licensed day care facilities is much more acute than it was five years ago.…

  8. Romanian Health Care Reform in the Context of Economic Crisis

    Directory of Open Access Journals (Sweden)

    Victoria Gheonea

    2010-12-01

    Full Text Available The effects of financial crisis are strongly felt in Romania, which already face with asignificant slowdown in economic growth or even economic recession. The current and internationalsituation remains still difficult, and requires high budget constraints. Under these conditions, thehealth system in Romania has become one of the most inefficient in Europe, mainly characterized bylack of transparency in the allocation of funds and inefficiency in resource use. The lack of clear andcoherent criteria to evaluate the performance of health institutions results in a difficultimplementation of efficient managerial systems to reward the efficient manager.

  9. Adrenal haemorrhage with cholestasis and adrenal crisis in a newborn of a diabetic mother.

    Science.gov (United States)

    Koklu, Esad; Kurtoglu, Selim; Akcakus, Mustafa; Koklu, Selmin

    2007-03-01

    The large hyperaemic foetal adrenal gland is vulnerable to vascular damage. This may occur in the neonatal period as a consequence of difficult labour, or its aetiology may not be apparent. The spectrum of presentation is considerable, ranging from asymptomatic to severe life-threatening intra-abdominal haemorrhage. The presentation of adrenal insufficiency may be delayed but the regenerative capacity of the adrenal is great, and most adrenal haemorrhage is not associated with significantly impaired function. Some reports showed that cholestatic hepatopathy with congenital hypopituitarism reversed by hydrocortisone treatment is considered in the context of the endocrine syndrome, probably as a consequence of the adrenal failure. We describe a case of bilateral adrenal haemorrhage with hepatitis syndrome and persistent hypoglycaemia in a newborn male with striking features of neonatal cholestasis and adrenal crisis.

  10. Nursing interventions in crisis-oriented and long-term psychiatric home care

    NARCIS (Netherlands)

    Boomsma, J.; Dassen, T.WN; Dingemans, T.; van den Heuvel, W.J.A.

    1999-01-01

    Psychiatric nurses in The Netherlands are moving out of residential mental health institutions and are pioneering home care for the acutely and chronically mentally ill. The purpose of this study was to identify the interventions nurses currently use and to describe the differences between crisis-or

  11. The Crisis in Emergency and Trauma Care in California and the United States

    Directory of Open Access Journals (Sweden)

    Mansuri, Oveys

    2006-12-01

    Full Text Available A crisis affecting every geographic region and every socioeconomic segment of the United States is threatening the future viability of emergency and trauma care in America. As the financial and social burden of providing trauma care has fallen on individual states, hospitals and physicians, record numbers of emergency departments and trauma centers have been forced to close. The ultimate cost of these closures falls upon patients who will receive inadequate emergency and trauma care. In the fall of 2004 King Drew Medical Center Trauma Services, the second largest trauma center in Los Angeles County closed. Continuing on this path may threaten the emergency and trauma care in the United States, touted as one of the finest in the world. This article provides a general overview of the trauma center crisis in California and reviews the history of the problem and its future implications in California as well as the United States.

  12. Strength-based crisis programming: Evaluating the process of care.

    Science.gov (United States)

    Hootz, Terra; Mykota, David B; Fauchoux, Laurissa

    2016-02-01

    In this study, a utilization-focused process evaluation framework was used to explore client and service providers' experiences of Crisis Management Services (CMS), their perceptions of the services provided, and the process of client engagement CMS offers. CMS is a strength-based program that targets individuals who experience crises every day. The Community-University Institute for Social Research facilitated the evaluation by engaging academic expertise in a coordinated collaborative approach to community-university partnerships. Semi-structured interviews were conducted with the clients and service providers. The general inductive approach was used for transcript analysis with seven themes emerging. A conceptual model of service delivery is presented, which integrates the interviews conducted with clients and service providers. Results affirm that the establishment of a close personal strength-based relationship is key to client engagement. Collaborative goal setting with informal and formal community resources viewed as potential assets, characterizes the process that enables clients to live at their optimal level of independence. This study is unique as it provides valuable insight on the perspectives of vulnerable individuals in crisis situations. Through the establishment of community-university partnerships the gap between scholarly research and its applicability to community organizations is narrowed with opportunities for improving the quality of life enhanced. PMID:26512431

  13. Effect of Kangaroo Mother Care on Growth and Morbidity Pattern in Low Birth Weight Infants

    Directory of Open Access Journals (Sweden)

    Keerti Swarnkar

    2016-01-01

    Full Text Available Background: Kangaroo Mother Care (KMC is dened as skin-to-skin contact between a mother and her newborn baby derived from practical similarities to marsupial care giving, proximately exclusive breastfeeding and early discharge from hospital. This concept was proposed as an alternative to conventional methods of care for low birth weight (LBW infants, and in replication to quandaries of earnest overcrowding in Neonatal Intensive Care Units (NICUs. KMC essentially utilizes the mother as a natural incubator Aim and Objectives: The aim was to assess the feasibility, acceptability and the effectiveness of KMC in LBW infants. It avoids agitation routinely experienced in busy ward. Material and Methods: A pilot open-labeled quasi-randomised clinical trial was conducted in Level III NICU of a teaching institution. 60 newborn infants <2500 g, meeting inclusion criteria were alternatively randomised into two groups: Kangaroo Mother Care (KMC and Conventional Methods of Care (CMC. Kangaroo mother care was practiced with minimum total period of eight hours a day intermittently for the intervention group while the controls remained in incubators or cots. Weight, head circumference, length, morbidity episodes, hospital stay, feeding patterns were monitored for all infants till postmenstrual age of 42 weeks in preterm babies or till a weight of 2500 g is achieved in term SGA babies. Results: The pilot study conrmed that trial processes were efcient, the intervention was acceptable (to mothers and nurses and that the outcome measures were appropriate; KMC babies achieved signicantly better growth at the end of the study (For preterm babies, weight, length and head circumference gain were signicantly higher in the KMC group (weight 19.28±2.9g/day, length 0.99±0.56cm/week and head circumference 0.72±0.07 cm/week than in the CMC group (P <0.001. A signicantly higher number of babies in the CMC group suffered from hypothermia, hypoglycemia, and

  14. Psychiatric home care: a new tool for crisis intervention.

    Science.gov (United States)

    Spiro, A H

    1994-03-01

    The cost of psychiatric care has been rapidly increasing in recent years. Between 1984 and 1987, there was a 46 percent increase in psychiatric hospitals beds and a 60 percent increase in psychiatric units in general hospitals. This reflected a recognition by many health care systems that psychiatric patients were a good source of revenue. With this push toward more and more inpatient programs, crucial aspects of psychiatric care were left behind. Specifically, the limitations of inpatient therapy have not been recognized. Within the past five years, a new program has been developed and pioneered to use home care to prevent psychiatric hospitalizations and to also prevent the difficult transitions for psychiatric patients. Over a two-year period, this program was studied for its impact on the quality and cost of psychiatric care.

  15. [Care provided by nursing students in a neonatal intensive care unit from the mother's point of view].

    Science.gov (United States)

    Pacheco, S T; do Valle, E R; Simões, S M

    2001-01-01

    The objective of the present study is to investigate the perspective of mothers regarding the care given by academics of nursing to their newborn in a neonatal intensive therapy unit. This is a qualitative research based on a phenomenological approach which has as its philosophical framework the thought of Martin Heidegger expressed in his book Being and Time. The data used in the investigation were interviews given by ten mothers who had their newborns in a neonatal intensive therapy unit of a university hospital in the city of Rio de Janeiro. The interpretation of the data collected revealed that mothers viewed the nursing academics as solicitous beings regarding the care given to their newborns. They also acknowledged that these students were engaged in the assistance given and concerned with what was being done and to whom it was being done. PMID:12098862

  16. The effect of formal, neonatal communication-intervention training on mothers in kangaroo care

    Directory of Open Access Journals (Sweden)

    Alta Kritzinger

    2014-01-01

    Full Text Available Background: Due to low-birth-weight, preterm birth, HIV and/or AIDS and poverty-related factors, South Africa presents with an increased prevalence of infants at risk of language delay. A Kangaroo Mother Care (KMC unit offers unique opportunities for training.Aim: The aim of the present study was to determine if formal, neonatal communication-intervention training had an effect on mothers’ knowledge and communication interaction with their high-risk infants.Methods: Three groups of mothers participated: Group 1 was trained whilst practicing KMC; Group 2 was not trained but practiced KMC; and Group 3 was also not trained but practiced sporadic KMC. Ten mothers per group were matched for age, education level and birth order of their infants. The individual training was based on graded sensory stimulation and responsive mother-infant communication interaction, which emphasised talking and singing by the mother.Results: Significant differences were found in mother-infant communication interaction between all three groups, which indicated a positive effect on Group 1 with training. Group 2, KMC without training, also had a positive effect on interaction. However, Group 1 mothers with training demonstrated better knowledge of their infants and were more responsive during interaction than the other two groups.Conclusion: The present study suggests that neonatal communication-intervention training adds value to a KMC programme. Normal 0 false false false EN-ZA X-NONE X-NONE

  17. The crisis of capitalism and the marketisation of health care: the implications for public health professionals.

    Science.gov (United States)

    McKee, Martin; Stuckler, David

    2012-12-28

    The current economic crisis in Europe has challenged the basis of the economic model that currently prevails in much of the industrialised world. It has revealed a system that is managed not for the benefit of the people but rather for the corporations and the small elite who lead them, and which is clearly unsustainable in its present form. Yet, there is a hidden consequence of this system: an unfolding crisis in health care, driven by the greed of corporations whose profit-seeking model is also failing. Proponents of commodifying healthcare simultaneously argue that the cost of providing care for ageing populations is unaffordable while working to create demand for their health care products among those who are essentially healthy. Will healthcare be the next profit-fuelled investor bubble? In this paper, we call on health professionals to heed the warnings from the economic crisis and, rather than stand by while a crisis unfolds, act now to redirect increasingly market-oriented health systems to serve the common good.

  18. Health Care Austerity Measures in Times of Crisis: The Perspectives of Primary Health Care Physicians in Madrid, Spain.

    Science.gov (United States)

    Heras-Mosteiro, Julio; Sanz-Barbero, Belén; Otero-Garcia, Laura

    2016-01-01

    The current financial crisis has seen severe austerity measures imposed on the Spanish health care system, including reduced public spending, copayments, salary reductions, and reduced services for undocumented migrants. However, the impacts have not been well-documented. We present findings from a qualitative study that explores the perceptions of primary health care physicians in Madrid, Spain. This article discusses the effects of austerity measures implemented in the public health care system and their potential impacts on access and utilization of primary health care services. This is the first study, to our knowledge, exploring the health care experiences during the financial crisis of general practitioners in Madrid, Spain. The majority of participating physicians disapproved of austerity measures implemented in Spain. The findings of this study suggest that undocumented migrants should regain access to health care services; copayments should be minimized and removed for patients with low incomes; and health care professionals should receive additional help to avoid burnout. Failure to implement these measures could result in the quality of health care further deteriorating and could potentially have long-term negative consequences on population health. PMID:26825100

  19. Health Care Austerity Measures in Times of Crisis: The Perspectives of Primary Health Care Physicians in Madrid, Spain.

    Science.gov (United States)

    Heras-Mosteiro, Julio; Sanz-Barbero, Belén; Otero-Garcia, Laura

    2016-01-01

    The current financial crisis has seen severe austerity measures imposed on the Spanish health care system, including reduced public spending, copayments, salary reductions, and reduced services for undocumented migrants. However, the impacts have not been well-documented. We present findings from a qualitative study that explores the perceptions of primary health care physicians in Madrid, Spain. This article discusses the effects of austerity measures implemented in the public health care system and their potential impacts on access and utilization of primary health care services. This is the first study, to our knowledge, exploring the health care experiences during the financial crisis of general practitioners in Madrid, Spain. The majority of participating physicians disapproved of austerity measures implemented in Spain. The findings of this study suggest that undocumented migrants should regain access to health care services; copayments should be minimized and removed for patients with low incomes; and health care professionals should receive additional help to avoid burnout. Failure to implement these measures could result in the quality of health care further deteriorating and could potentially have long-term negative consequences on population health.

  20. Attitudinal Difference Among Women Of Different Educational Status Towards Infant And Mother Care

    Directory of Open Access Journals (Sweden)

    Papiya Upadhyay and Deb Prasad Sikdar

    2009-05-01

    Full Text Available Children are the gem of the future. They contribute utmost to the national development of a country. If a country has healthy population, it can fight against all odds. In order to achieve this women come into the forefront. Women in their development process become mothers. A healthy mother can only give rise to healthy babies. The concern for the health of women is very significant and thus cannot be neglected. Against this back drop our present study aims to find out the relationship between women’s educational level and their attitudinal difference towards infant and personal care. The effect of marital status and location variations- rural and urban areas of Nadia district are also taken into consideration. The statistical analyses reflect mothers with higher educational status have positive attitude towards mother (personal and infant care. The rural women lag far behind their urban counterparts in this respect. There is no significant difference between married and unmarried women in attitude towards infant and mother care.

  1. Children's early child care and their mothers' later involvement with schools.

    Science.gov (United States)

    Crosnoe, Robert; Augustine, Jennifer March; Huston, Aletha C

    2012-01-01

    Theory and policy highlight the role of child care in preparing children for the transition into school. Approaching this issue in a different way, this study investigated whether children's care experiences before this transition promoted their mothers' school involvement after it, with the hypothesized mechanism for this link being the cultivation of children's social and academic skills. Analyses of 1,352 children (1 month-6 years) and parents in the NICHD Study of Early Child Care and Youth Development revealed that mothers were more involved at their children's schools when children had prior histories of high-quality nonparental care. This pattern, which was fairly stable across levels of maternal education and employment, was mediated by children's academic skills and home environments.

  2. Mother's Health Knowledge and Its Links with the Illness and Medical Care of Their Children in India

    Science.gov (United States)

    Patra, Shraboni; Perianayagam, Arokiasamy; Goli, Srinivas

    2016-01-01

    Purpose: The level of mother's health knowledge influences not only her health, but also significantly predicts her children's health and medical care, and spending on medical care. This relationship has not yet been empirically assessed in India. The purpose of this paper is to measure the level of health knowledge of mothers in India and its…

  3. Preventing mother to child transmission of HIV in Vietnam and Indonesia: diverging care dynamics

    NARCIS (Netherlands)

    A.P. Hardon; P. Oosterhoff; J.D. Imelda; N.T. Anh; I. Hidayana

    2009-01-01

    How do women and frontline health workers engage in preventing mother-to-child HIV transmission (PMTCT) in urban areas of Vietnam and Indonesia, where HIV is highly stigmatized and is associated with injecting drug use and sex work? This qualitative study explores local dynamics of care, using a mix

  4. Child Care Needs of Mothers in Arkansas' Labor Force: A Statistical Study.

    Science.gov (United States)

    Arkansas Advocates for Children and Families, Little Rock.

    The major purpose of this paper is to increase employers' awareness of the impact that the rising number of working mothers has had on the need for day care in Arkansas as a whole and in their specific business locales. It is hoped that employers will be motivated to investigate and evaluate the advantages of providing some form of day care…

  5. Do Child Care Subsidies Influence Single Mothers' Decision to Invest in Human Capital?

    Science.gov (United States)

    Herbst, Chris M.; Tekin, Erdal

    2011-01-01

    A child care subsidy is one of the most effective policy instruments to facilitate low-income individuals' transition from welfare to work. Although previous studies consistently find that subsidy receipt is associated with increased employment among single mothers, there is currently no evidence on the influence of these benefits on the decision…

  6. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi.

    Science.gov (United States)

    Almas, Aysha; Ghouse, Ayaz; Iftikhar, Ahmed Raza; Khursheed, Munawwar

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218). Per oral calcium channel blocker; 35.4% (137) and intravenous nitrate; 22.7% (88) were the most commonly administered medication in the ER. The mean (SD) drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29) mm Hg and on per oral treatment was 43 (27) mm Hg. The maximum mean (SD) drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51) mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24). Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  7. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    Directory of Open Access Journals (Sweden)

    Aysha Almas

    2014-01-01

    Full Text Available Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387 had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218. Per oral calcium channel blocker; 35.4% (137 and intravenous nitrate; 22.7% (88 were the most commonly administered medication in the ER. The mean (SD drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29 mm Hg and on per oral treatment was 43 (27 mm Hg. The maximum mean (SD drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51 mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24. Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  8. Take Care of Mother Earth: Technology and the Environment.

    Science.gov (United States)

    Parker, Diane L.

    2003-01-01

    Students in grades 1 and 2 did a two-year research project to help take care of their world. Technology afforded them an effective means of interpreting and communicating their findings to a far broader audience than they had anticipated. (Author/NB)

  9. Joint action between child health care nurses and midwives leads to continuity of care for expectant and new mothers

    Directory of Open Access Journals (Sweden)

    Ingrid Hylander

    2012-07-01

    Full Text Available Reduction of the duration of postpartum hospital stay in western countries highlights the need for better support and continuity of care for expectant and new mothers. The aim of this study was to investigate strategies to improve continuity of care for expectant and new mothers. The study also aimed to elaborate on a preliminary substantive grounded theory model of “linkage in the chain of care” that had been developed earlier. Grounded theory methodology, which involved multiple data sources comprising structured interviews with midwives and child healthcare nurses (n=20, as well as mothers (n=21, participant observation, and written material, was used. Comparative analysis was used to analyse the data. To achieve continuity, three main strategies, transfer, establishing and maintaining a relation, and adjustment, were identified. These strategies for continuity formed the basis of the core category, joint action. In all the strategies for continuity, midwives and child healthcare nurses worked together. In addition, mothers benefited from the joint action and recognized continuity of care when strategies for continuity were implemented. The results are discussed in relation to the established concepts of continuity.

  10. Child health care utilisation in families with young or single mothers in a Swedish county.

    Science.gov (United States)

    Wallby, Thomas; Modin, Bitte; Hjern, Anders

    2013-03-01

    Young age and lone parenthood are risk factors for impaired health among mothers and their children. Due to the higher risks of negative influences on physical and mental health, young and single mothers should be of special concern to the Child Health Services (CHS). In the present study, we investigated consumption patterns of child health care services among young and single mothers in Uppsala County, Sweden to study whether they are reached by the universal CHS program and if selective or indicative measures were administered in daily CHS practice. Register data on CHS contacts and socio-demographic indicators were collected for 10692 infants, born in 1998-2006. Results show small differences in contact pattern and immunization status, between children of young versus older, and single versus cohabiting mothers. However, both young (RR 0.64) and single (RR 0.80) mothers had significantly lower rates of participation in parental group. The CHS were consequently successful in implementing the universal preventive child health programme for all families, including families with young or single mothers. There was no indication, however, of an established selective preventive strategy aimed at these high risk families. Programs for strengthening the support provided to vulnerable families by the CHS are needed. PMID:23197384

  11. Health and health care of mothers and children in a suburban area of Luanda, Angola.

    Science.gov (United States)

    Humbwavali, João Baptista; Giugliani, Camila; Duncan, Bruce Bartholow; Harzheim, Erno; Lavor, Antônio Carlile Holanda; Lavor, Míria Campos; Barbosa, Maria Idalice; Thomas, Patrícia Barros; Hauser, Lisiane

    2014-06-01

    Population health data available in Angola are often insufficient to guide the planning of health interventions. To address this gap, the goal of the present study was to investigate the health of mothers and infants in a suburban municipality in Luanda (Cacuaco), in order to provide a baseline for future comparisons. This was a prevalence study investigating infants younger than 2 years of age and their mothers. Mothers were interviewed, and children's height and weight were measured. Of 749 mothers interviewed, 98.5% (95% CI 98.2-99.1%) had at least one prenatal visit and 51.7% (95% CI 47.4-56.3%) had a health card. Most mothers with a health card had their first prenatal visit before the 20th week of pregnancy, and had at least four prenatal visits; 81.1% (95% CI 78.3-84.1%) of mothers also had their child's health card. Prevalence of exclusive breastfeeding at 6 months was 19% (95% CI 16.2-23.1%). Prevalence of low height-for-age and low BMI-for-age were 32 and 6%, respectively. Mothers with higher education levels were more likely to have had their first prenatal visit earlier, to have had more prenatal visits, to have given birth at a health facility, and to have her own and her child's health cards. Results showed a high prevalence of prenatal care and a low frequency of acute malnutrition. Maternal education level, among factors studied, was the predominant correlate of more positive health behaviors. These findings suggest important progress of mother and child health in Cacuaco, and may serve as a baseline for the planning of health interventions. PMID:24370599

  12. Associations between birth health, maternal employment, and child care arrangement among a community sample of mothers with young children.

    Science.gov (United States)

    Chiao, Chi; Chyu, Laura; Ksobiech, Kate

    2014-01-01

    Although a large body of literature exists on how different types of child care arrangements affect a child's subsequent health and sociocognitive development, little is known about the relationship between birth health and subsequent decisions regarding type of nonparental child care as well as how this relationship might be influenced by maternal employment. This study used data from the Los Angeles Families and Neighborhoods Survey (L.A.FANS). Mothers of 864 children (ages 0-5) provided information regarding birth weight, maternal evaluation of a child's birth health, child's current health, maternal employment, type of child care arrangement chosen, and a variety of socioeconomic variables. Child care options included parental care, relative care, nonrelative care, and daycare center. Multivariate analyses found that birth weight and subjective rating of birth health had similar effects on child care arrangement. After controlling for a child's age and current health condition, multinomial logit analyses found that mothers with children with poorer birth health are more likely to use nonrelative and daycare centers than parental care when compared to mothers with children with better birth health. The magnitude of these relationships diminished when adjusting for maternal employment. Working mothers were significantly more likely to use nonparental child care than nonemployed mothers. Results suggest that a child's health early in life is significantly but indirectly related to subsequent decisions regarding child care arrangements, and this association is influenced by maternal employment. Development of social policy aimed at improving child care service should take maternal and family backgrounds into consideration. PMID:24188296

  13. The painful effects of the financial crisis on Spanish health care.

    Science.gov (United States)

    Bosch, Xavier; Moreno, Pedro; López-Soto, Alfonso

    2014-01-01

    Spain has an advanced, integrated health care system that has achieved remarkable results, including substantially improved health outcomes, over a relatively short time. Measures introduced by central and regional governments to combat the financial crisis may be severely affecting the health sector, with proposed changes potentially threatening the principles of equity and social cohesion underlying the welfare state. This article examines recent developments in Spanish health care, focusing on the austerity measures introduced since 2010. In Spain, as in other countries, evaluation of health care changes is difficult due to the paucity of data and because the effects of measures often lag well behind their introduction, meaning the full effects of changes on access to care or health outcomes only become apparent years later. However, some effects are already clear. With exceptions, Spain has not used the crisis as an opportunity to increase efficiency and quality, rationalize and reorganize health services, increase productivity, and regain public trust. We argue that immediate health care cuts may not be the best long-term answer and suggest evidence-driven interventions that involve the portfolio of free services and the private sector, while ensuring that the most vulnerable are protected.

  14. FACTORS LEAD TO DEPRESION DURING ANTENATAL CARE EVERY TRIMESTER OF PREGNANT MOTHER

    Directory of Open Access Journals (Sweden)

    Eddy Surya Kurniawan

    2013-03-01

    Full Text Available The most important factor in reducing maternal and infant mortality rates began during pregnancy. In 2000, one in twenty children die before reaching the age of five years and a mother died of childbirth out of every 325 live births. The death rate in research mainly indicated comparable levels of depression due to stress in pregnant women. The occurrence of symptoms of depression during the perinatal period can be easily recognized. Depression during pregnancy is a common mood disorder such as depression that occurs in the laity in general, where the incidence of depression will occur chemical changes in the brain. Each trimester of pregnancy are at risk of psychological disorders respectively. Antenatal care plays a very important for the safety of the mother and fetus, minimizing the risks of pregnancy, and reduce the number of neonatal deaths. Nursing antenatal care should have run in accordance with minimum standards for pregnant women to obtain a safe childbirth and satisfying.

  15. Health seeking behavior of the mothers for the special care new-born unit discharged children: a comparative study.

    Science.gov (United States)

    Jeet, Gursimer; Sharma, Atul; Mohanta, Tulika Goswami; Trakroo, Ajay

    2013-01-01

    Establishment of special care new-born units (SCNU) in hospitals not only serves to provide the intensive care to sick neonates, but presents with opportunities to enhance knowledge and modify attitude and practices of their parents through behavior change communication (BCC). A cross-sectional study was conducted in Dibrugarh District, Assam from January to June, 2011 to assess differences in health-care seeking behavior of these mothers from mothers of newborns who were born at home and mothers who had normal uneventful institutional deliveries. Mothers of 29 SCNU discharged, 34 institutions delivered and 26 home delivered children were interviewed using a semi-structured interview schedule and a knowledge, attitude and practice (KAP) survey tool. Mothers of children admitted to SCNU scored better in questions related to vaccination, contraception, protection of child from infections and cold and perceptions about traditional healers, but overall KAP scores in the three groups were not found significantly different. PMID:23873201

  16. Health seeking behavior of the mothers for the special care new-born unit discharged children: A comparative study

    Directory of Open Access Journals (Sweden)

    Gursimer Jeet

    2013-01-01

    Full Text Available Establishment of special care new-born units (SCNU in hospitals not only serves to provide the intensive care to sick neonates, but presents with opportunities to enhance knowledge and modify attitude and practices of their parents through behavior change communication (BCC. A cross-sectional study was conducted in Dibrugarh District, Assam from January to June, 2011 to assess differences in health-care seeking behavior of these mothers from mothers of newborns who were born at home and mothers who had normal uneventful institutional deliveries. Mothers of 29 SCNU discharged, 34 institutions delivered and 26 home delivered children were interviewed using a semi-structured interview schedule and a knowledge, attitude and practice (KAP survey tool. Mothers of children admitted to SCNU scored better in questions related to vaccination, contraception, protection of child from infections and cold and perceptions about traditional healers, but overall KAP scores in the three groups were not found significantly different.

  17. Psychiatric intervention in primary care for mothers whose schoolchildren have psychiatric disorder.

    OpenAIRE

    Coverley, C T; Garralda, M E; Bowman, F

    1995-01-01

    BACKGROUND. Psychiatric disorder in schoolchildren has been linked to increased general practice attendance rates. This increase may, in part, be a result of maternal stress focused on the disturbed child, and of a decrease in confidence in parenting. AIM. A study was undertaken to pilot the feasibility of a single session, psychiatric intervention in primary care for mothers of disturbed children and to examine uptake rates and reported immediate and long-term effects. METHOD. Single psychia...

  18. Clever mothers balance time and effort in parental care: a study on free-ranging dogs

    OpenAIRE

    Paul, Manabi; Sau, Shubhra; Nandi, Anjan K.; Bhadra, Anindita

    2016-01-01

    Mammalian offspring require parental care, at least in the form of suckling during their early development. While mothers need to invest considerable time and energy in ensuring the survival of their current offspring, they also need to optimize their investment in one batch of offspring in order to ensure future reproduction and hence lifetime reproductive success. Free-ranging dogs live in small social groups, mate promiscuously, and lack the cooperative breeding biology of other group livi...

  19. The myasthenic patient in crisis: an update of the management in Neurointensive Care Unit

    Directory of Open Access Journals (Sweden)

    Daniel Agustin Godoy

    2013-09-01

    Full Text Available Myasthenia gravis (MG is an autoimmune disorder affecting neuromuscular transmission leading to generalized or localized muscle weakness due most frequently to the presence of autoantibodies against acetylcholine receptors in the postsynaptic motor end-plate. Myasthenic crisis (MC is a complication of MG characterized by worsening muscle weakness, resulting in respiratory failure that requires intubation and mechanical ventilation. It also includes postsurgical patients, in whom exacerbation of muscle weakness from MG causes a delay in extubation. MC is a very important, serious, and reversible neurological emergency that affects 20–30% of the myasthenic patients, usually within the first year of illness and maybe the debut form of the disease. Most patients have a predisposing factor that triggers the crisis, generally an infection of the respiratory tract. Immunoglobulins, plasma exchange, and steroids are the cornerstones of immunotherapy. Today with the modern neurocritical care, mortality rate of MC is less than 5%.

  20. Mead Johnson Critical Care Symposium for the Practising Surgeon. 4. Abdominal crisis in the intensive care unit.

    Science.gov (United States)

    Gregor, P; Prodger, J D

    1988-09-01

    Abdominal crises are common in critically ill patients who are admitted to the intensive care unit for problems unrelated to the abdomen. General surgeons may be asked to assess these patients for such reasons as pain, distension, possible sepsis, radiologic or laboratory abnormalities. Since many of the diagnostic signs and symptoms of acute abdomen are blunted or absent in critically ill patients who may be comatose or have been given analgesics or steroids, frequent thorough physical examination and close cooperation with the service admitting the patient are necessary to ensure early diagnosis and aggressive treatment of the abdominal crisis. PMID:3046730

  1. Helping small babies survive: an evaluation of facility-based Kangaroo Mother Care implementation progress in Uganda

    OpenAIRE

    Aliganyira, Patrick; Kerber, Kate; Davy, Karen; Gamache, Nathalie; Sengendo, Namaala Hanifah; Bergh, Anne-Marie

    2014-01-01

    Introduction Prematurity is the leading cause of newborn death in Uganda, accounting for 38% of the nation's 39,000 annual newborn deaths. Kangaroo mother care is a high-impact; cost-effective intervention that has been prioritized in policy in Uganda but implementation has been limited. Methods A standardised, cross-sectional, mixed-method evaluation design was used, employing semi-structured key-informant interviews and observations in 11 health care facilities implementing kangaroo mother ...

  2. New mothers' perceptions regarding maternity care services provided in a prefecture of Northern Greece

    Directory of Open Access Journals (Sweden)

    Maria Tsiligiri

    2010-01-01

    Full Text Available Background: The use of health care services during pregnancy assists in decreasing neonatal deaths and improves the quality of life of pregnant women and their newborn children.Aim: To investigate the perceptions of new mothers in a prefecture of Northern Greece regarding the maternity services provided during pregnancy and childbirth.Methodology: The sample consists of 133 mothers of newborn babies who were hospitalised, after in-hospital delivery, between April and June 2008 in a prefecture of Northern Greece. The instrument used for the data collection was the Kuopio Instrument for Mothers (KIM.Results: 97% of participants were married, 42.2% had higher education and 23.3% were full-time employees. 42.9% of the mothers were primiparous and 57.1% were multiparous. 56.8% had vaginal delivery, while 42.9% had caesarean section. 84.2% of the participants stated that they would prefer to have their next delivery in a private maternity clinic, and 3% stated that they would prefer to give birth at home. 15.3% had participated in childbirth preparatory courses. Finally, the participants considered that maternity services, such as pregnancy monitoring, preventative examinations for foetal abnormalities, PAP-test and preventative examinations for breast cancer, should be provided by the state free of charge.Conclusions: It is necessary to further develop and modernize maternity services in such a way that they will correspond to pregnant women’s needs.

  3. Care around birth, infant and mother health and maternal health investments – Evidence from a nurse strike

    DEFF Research Database (Denmark)

    Kronborg, Hanne; Sievertsen, Hans Henrik; Wüst, Miriam

    2016-01-01

    Care around birth may impact child and mother health and parental health investments. We exploit the 2008 national strike among Danish nurses to identify the effects of care around birth on infant and mother health (proxied by health care usage) and maternal investments in the health...... not find strong effects of strike exposure on infant and mother GP contacts in the longer run, this result suggests that parents substitute one type of care for another. While we lack power to identify the effects of care around birth on hospital readmissions and diagnoses, our results for maternal health...... investments indicate that strike-exposed mothers—especially those who lacked postnatal early home visits—are less likely to exclusively breastfeed their child at four months. Thus reduced care around birth may have persistent effects on treated children through its impact on parental investments....

  4. The expectations of fathers concerning care provided by midwives to the mothers during labour

    Directory of Open Access Journals (Sweden)

    Anna G.W. Nolte

    2012-02-01

    Full Text Available Midwives have been criticised for neglecting the expectations and needs of fathers. They either ignore the fathers or pressure them into becoming more involved than they would choose, if allowed to provide support to the mothers during labour. Whilst midwives are providing woman-centred care, it is important that they remember to involve the fathers in decision-making and to acknowledge their role, expectations and needs, because the birth of a child is one of the most important events in a person’s lifetime. This study focused on fathers’ expectations of the care provided to mothers by the midwives during labour. A qualitative, explorative, descriptive and contextual study design was utilised. In-depth qualitative interviews were conducted with fathers about the care provided to their partners or wives by midwives. Data were then analysed with an open descriptive method of coding that is appropriate for qualitative research. The results of the interviews were subsequently positioned within a holistic health-promotive nursing theory that encompassed body, mind and spirit. The results revealed that fathers saw the provision of comfort and support as the two main aspects for mothers in labour that they expected from midwives. The findings were that midwives should improve their communication skills with the mothers, as well as with the fathers if they are available. Fathers expected midwives to encourage them to accompany the mother during labour and to facilitate bonding between father, mother and baby. The results of this study should assist midwives to provide holistic quality care to mothers and fathers during labour.

    Opsomming

    Vroedvroue word daarvan beskuldig dat hulle nie voldoen aan die verwagtinge en behoeftes van die vaders nie. Vaders word, óf deur hulle geïgnoreer, óf druk word op hulle uitgeoefen om meer betrokke te raak as waarmee hulle gemaklik is, indien hulle wel toegelaat word om moeders te

  5. Medical supplies shortages and burnout among greek health care workers during economic crisis: a pilot study.

    Science.gov (United States)

    Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K; Dounias, George; Hadjichristodoulou, Christos

    2014-01-01

    Greece has been seriously affected by the economic crisis. In 2011 there were reports of 40% reduction to public hospital budgets. Occasional shortages of medical supplies have been reported in mass media. We attempted to pivotally investigate the frequency of medical supplies shortages in two Greek hospital units of the National Health System and to also assess their possible impact on burnout risk of health care workers. We conducted a cross-sectional study (n=303) of health care workers in two Greek hospitals who were present at the workplace during a casually selected working day (morning shift work). The Maslach Burnout Inventory (MBI) was used as the measure of burnout. An additional questionnaire was used about demographics, and working conditions (duration of employment, cumulative night shifts, type of hospital including medical supplies shortages and their impact on quality of healthcare. The prevalence of emotional exhaustion, depersonalization and low personal accomplishment was 44.5%, 43.2% and 51.5%, respectively. Medical supply shortages were significantly associated with emotional exhaustion and depersonalization. This finding provides preliminary evidence that austerity has affected health care in Greece. Moreover, the medical supply shortages in Greek hospitals may reflect the unfolding humanitarian crisis of the country. PMID:24688306

  6. Medical supplies shortages and burnout among greek health care workers during economic crisis: a pilot study.

    Science.gov (United States)

    Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K; Dounias, George; Hadjichristodoulou, Christos

    2014-01-01

    Greece has been seriously affected by the economic crisis. In 2011 there were reports of 40% reduction to public hospital budgets. Occasional shortages of medical supplies have been reported in mass media. We attempted to pivotally investigate the frequency of medical supplies shortages in two Greek hospital units of the National Health System and to also assess their possible impact on burnout risk of health care workers. We conducted a cross-sectional study (n=303) of health care workers in two Greek hospitals who were present at the workplace during a casually selected working day (morning shift work). The Maslach Burnout Inventory (MBI) was used as the measure of burnout. An additional questionnaire was used about demographics, and working conditions (duration of employment, cumulative night shifts, type of hospital including medical supplies shortages and their impact on quality of healthcare. The prevalence of emotional exhaustion, depersonalization and low personal accomplishment was 44.5%, 43.2% and 51.5%, respectively. Medical supply shortages were significantly associated with emotional exhaustion and depersonalization. This finding provides preliminary evidence that austerity has affected health care in Greece. Moreover, the medical supply shortages in Greek hospitals may reflect the unfolding humanitarian crisis of the country.

  7. [Agreement between information from the Pregnant Card and the mother's memory of antenatal care].

    Science.gov (United States)

    Santos Neto, Edson Theodoro dos; Leal, Maria do Carmo; Oliveira, Adauto Emmerich; Zandonade, Eliana; Gama, Silvana Granado Nogueira da

    2012-02-01

    This cross-sectional study aimed to verify agreement between information given by mothers after delivery and data recorded on Pregnant Cards about antenatal care under the Brazilian Unified National Health System in the Metropolitan Region of Vitória, Espírito Santo State, Brazil. The study considered a population of 1,035 postpartum mothers interviewed in eight hospitals, where the cards were copied. The representativeness of the sample was guaranteed by stratification according to the proportion of births. Kappa and McNemar tests were carried out with the collected and processed information. Agreement levels regarding antenatal care were predominantly poor (kappa Mothers tend to: overestimate the number of antenatal visits (McNemar = 51.73; p-value = 0.001); affirm diseases during pregnancy, such as diabetes, anemia, hypertension and urinary infections; report the performance of laboratory tests; report the carrying out of clinical examinations. Results suggest the need to reflect on the type of data used for planning and implementing maternal and child public health polices, since data varies depending on the information source. PMID:22331152

  8. The Effect of Kangaroo Mother Care on Fuss and Crying Time in Colicky Infants

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    Zahra Akbarian Rad

    2015-03-01

    Full Text Available AbstractBackground: Infantile colic is a common complaint in the first few weeks of life. On the other hand, because of its unknown etiology, there is not a specific therapy for this complaint, but various therapeutic options for reducing pain and restlessness of these infants are recommended. Skin to skin contact by Kangaroo Mother Care (KMC increases in pain threshold and it seems to be a suitable method for the care of these infants. This study was designed to evaluate the effect of KMC on infantile colic.Methods: This case- control study was performed between March 2012 and March 2013. Subjects were 55 infants with exclusive breast fed infant, aged 15-60 days with excessive fuss and crying, referred to Infant and Child Clinic in Ayatollah Rohani Hospital in Babol, north of Iran. Babies whose weights were less than 2500 Grams and with inheritance and clinical diseases excluded from the study. Infants were subjected to KMC at least 2 hours a day. Standard questionnaire and Barr Scale were filled by interview. Data was analyzed by SPSS v.11.5 and T-test, a P- value less than 0.05 considered being significant.Results:The fuss and crying time before the KMC was 2.21±1.54 hours per day and decreased to 1.16±1.3 hours per day after the implementation of KMC. (p=0.001Conclusions:Kangaroo mother care at home can be used as a simple and safe method for decreasing of cry and fussiness in colicky infants. Keywords: Kangaroo Mother Care (KMC, fussiness, Colicky Infants, colic

  9. The Effect of Kangaroo Mother Care on Fuss and Crying Time in Colicky Infants

    Directory of Open Access Journals (Sweden)

    Zahra Akbarian Rad

    2015-03-01

    Full Text Available Background: Infantile colic is a common complaint in the first few weeks of life. On the other hand, because of its unknown etiology, there is not a specific therapy for this complaint, but various therapeutic options for reducing pain and restlessness of these infants are recommended. Skin to skin contact by Kangaroo Mother Care (KMC increases in pain threshold and it seems to be a suitable method for the care of these infants. This study was designed to evaluate the effect of KMC on infantile colic. Methods: This case- control study was performed between March 2012 and March 2013. Subjects were 55 infants with exclusive breast fed infant, aged 15-60 days with excessive fuss and crying, referred to Infant and Child Clinic in Ayatollah Rohani Hospital in Babol, north of Iran. Babies whose weights were less than 2500 Grams and with inheritance and clinical diseases excluded from the study. Infants were subjected to KMC at least 2 hours a day. Standard questionnaire and Barr Scale were filled by interview. Data was analyzed by SPSS v.11.5 and T-test, a P- value less than 0.05 considered being significant. Results: The fuss and crying time before the KMC was 2.21±1.54 hours per day and decreased to 1.16±1.3 hours per day after the implementation of KMC. (p=0.001 Conclusions: Kangaroo mother care at home can be used as a simple and safe method for decreasing of cry and fussiness in colicky infants. Keywords: Kangaroo Mother Care (KMC, fussiness, Colicky Infants, colic

  10. Care and management of the infant of the HIV-1-infected mother.

    Science.gov (United States)

    Paintsil, Elijah; Andiman, Warren A

    2007-04-01

    Mother-to-child transmission of the human immunodeficiency virus continues to be a major global health problem. The pediatric HIV-1 epidemic is fueled by HIV-1 infection in women of childbearing age with vertical transmission in utero or at the time of birth. In resource-rich countries, the birth of an infected child is a sentinel health event signaling a chain of missed opportunities and barriers to prevention. Because the fate and ultimate HIV-infection status of the baby is inextricably linked to the infection status of the mother and her general state of well-being, we provide in this review: 1) background and state-of-the-art management guidelines for optimum maternal care; 2) strategies to minimize the risk of vertical transmission of HIV; and 3) recommendations for managing infants born to HIV-infected women. These are discussed under four case scenarios that obstetric and pediatric providers frequently encounter in their practices. PMID:17462496

  11. Your Health Care in Crisis: A HEALTH/PAC Special Report [1972

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    Robb Burlage

    2009-02-01

    Full Text Available Your Health Care in Crisis: A HEALTH/PAC Special Report Fourth Printing, November 1972 Reproduced from the US Heath Activism History Collection Rare Book and Manuscript Library, University of Pennsylvania HealthPAC online http://www.healthpaconline.net/ "This is the first in a series of pamphlets published by the Health Policy Advisory Center (Health-PAC. It analyzes the forces in the health system that prevent most Americans from getting good health care. How can that system be changed so that good health care is a right for all? Around the country emerging community and worker groups are working to transform the present health system into one that will provide high quality, low-cost, accessible health care for all. Health-PAC, an independent, non-profit research and education organization, works with and services these groups. Health-PAC has information available on patient's rights: health worker issues: community and worker struggles to change health institutions; the organization and financing of health care: Blue Cross: national health insurance proposals: and many other health care topics."

  12. [The meanings constructed in the attention to a crisis in the territory: the psychosocial care center as a protagonist].

    Science.gov (United States)

    Willrich, Janaína Quinzen; Kantorski, Luciane Prado; Chiavagatti, Fabieli Gopinger; Cortes, Jandro Moraes; Antonacci, Milena Hohmann

    2013-06-01

    The attention to a crisis is a strategic point in the process of paradigm changes proposed by the Brazilian psychiatric reform, requiring changes in alternative services and in the professionals that must use new technologies of care. This study aimed to identify the actions of attention to a crisis in the territory and the meanings as they evolved, beginning from the discursive practices of the professionals. It was a qualitative study that used the theoretical perspective of social constructionism. From the database of the research, Evaluation of the Psychosocial Care Centers in Southern Brazil (CAPSUL), 27 interviews were analyzed from the professionals of Psychosocial Care Center for Alegrete, along with field diaries with 390 hours of observation. Results showed patient engagement/welcoming and accountability for care. We concluded that freedom, reciprocity, contractuality and responsibility for care were the new meanings needed for the alternative care services to overcome the asylum and sense of exclusion and dangerousness. PMID:24601143

  13. Cultural care practices among mothers of nurslings with respiratory infection - doi: 10.5020/18061230.2012.s13

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    Dayanne Rakelly de Oliveira

    2012-11-01

    Full Text Available Objective: To understand the cultural practices of care among mothers of infants with respiratory infection in a pediatric outpatient clinic, from the recognition of the importance of the use of traditional medicine in Brazil. Methods: We applied a descriptive and exploratory study, qualitative, with twenty-eight mothers of infants with respiratory infection seen at a referral center in the city of Barbalha - CE, Brazil. Data were collected between the months of November and December of 2010 through semi-structured interview with a tape recorder. The speeches were analyzed by thematic-categorical analysis, which allowed the creation of four themes: cultural practices of care among mothers, sources of information on medicinal plants, modes of preparation of medicinal herbs and plants used by mothers. To ensure anonymity of participants, they received enumeration following the order of interviews. Results: The study showed that mothers make use of folk medicine, through the preparation of home remedies in order to treat and cure respiratory infections of their children; the leaking tea and herbal medicine are worth mentioning. Mothers place great confidence and give real meaning to the use of homemade preparations. It was observed that this knowledge comes from their mothers, grandparents, relatives and neighbors. Conclusion: Mothers attach great importance to popular practice, the traditional knowledge of relevant cultural value, as it is transmitted from generation to generation and has been rebuilt over time.

  14. The crisis as catalyst for reframing health care policies in the European Union.

    Science.gov (United States)

    Helderman, Jan-Kees

    2015-01-01

    Seen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare states, health care has always belonged to the sovereignty of European Member States. However, in past two decades, European welfare states have in fact become semi-sovereign states and the European Union (EU) no longer is an exogenous actor in European health policy making. Today, the EU not only puts limits to unsustainable growth levels in health care spending, it also acts as an health policy agenda setter. Since the outbreak of the GFC, it does so in an increasingly coercive and persuasive way, claiming authority over health system reforms alongside the responsibilities of its Member States. PMID:25662196

  15. Immunization Awareness amongst Mothers of Children at A Tertiary – Care Hospital

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    Nauman Ahmad Khan

    2012-06-01

    Full Text Available Background: Vaccination is a crucial tool to defend against childhood infectious disease. The prevalence of immunization and immunization awareness are affected by a number of factors including maternal age, literacy and socioeconomic conditions. To counter the high infant mortality rate in developing countries, WHO and UNICEF launched the Extended Program for Immunization (EPI in 1976 to protect against the major infectious diseases affecting children. This study was conducted at Civil Hospital Karachi (CHK, the one of the largest hospitals in Pakistan.Objectives: -To assess the level of awareness about immunization amongst mothers at a large tertiary care hospital in a major city in Pakistan.-To determine mother’s perceptions about the effectiveness of immunization-The prevalence of complete immunization amongst children at CHK-To document the major contributors to awareness about immunization amongst mothers.Methodology: In this cross-sectional survey, a questionnaire was developed to gather information to define the demographic profile and to accomplish the study objectives. It was administered by trained medical students to mothers of children visiting pediatric clinics in Civil Hospital Karachi (CHK during August-October 2009. There are 3 pediatric wards in CHK with over 40 patients in each ward and over 100 patients attending clinic per day. 500 mothers were interviewed in the survey. Fathers and all relatives besides the mothers were excluded from the survey. Full immunization was defined as completing all vaccinations according to the EPI’s guidelines. After explaining study objectives to mothers, written informed consent was obtained and assurance with regards to confidentiality was provided. Results: 500 mothers and 1585 children were included in the study, with a mean 3.17 children per woman. The women were mostly uneducated (53% and from low-income homes (51%. Full immunization status was reported in only 542 (35% of children

  16. EXPLAINING THE GAP IN ANTENATAL CARE SERVICE UTILIZATION BETWEEN YOUNGER AND OLDER MOTHERS IN GHANA.

    Science.gov (United States)

    Boamah, Sheila A; Amoyaw, Jonathan; Luginaah, Isaac

    2016-05-01

    Over two-thirds of pregnant women (69%) have at least one antenatal care (ANC) coverage contact in sub-Saharan Africa. However, to achieve the full life-saving potential that ANC promises for women and babies, a nuanced understanding of age-specific gaps in utilization of ANC services is required. Using the 2008 Ghana Demographic and Health Survey of 1456 individuals, this study examined the disparities in the use of ANC services between younger and older mothers by applying four counterfactual decomposition techniques. The results show that cross-group differences in the explanatory variables largely account for the differentials in ANC service utilization between younger and older mothers. Birth order (parity) accounts for the largest share of the contribution to the overall explained gap in ANC utilization between the younger and older mothers, suggesting that ANC differentials between the two groups are probably due to biosocial factors. To a lesser extent, wealth status of the two groups also contributes to the overall explained gap in ANC service utilization. The policy implications of these findings are that in order to bridge the ANC service utilization gap between the two groups, policymakers must systematically address gaps in cross-group differences in the explanatory variables in order to increase the utilization of ANC to attain the minimum recommendation of four visits as per World Health Organization guidelines. PMID:26160032

  17. Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring

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    Lay Barbara

    2012-09-01

    Full Text Available Abstract Background The high number of involuntary placements of people with mental disorders in Switzerland and other European countries constitutes a major public health issue. In view of the ethical and personal relevance of compulsory admission for the patients concerned and given the far-reaching effects in terms of health care costs, innovative interventions to improve the current situation are much needed. A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. However, the effectiveness of such interventions in terms of more robust criteria (e.g., admission rates has not been sufficiently analysed in larger study samples. The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. The intervention furthermore intends to reduce the degree of patients’ perceived coercion and to increase patient satisfaction, their quality of life and empowerment. Methods/Design This paper describes the design of a randomised controlled intervention study conducted currently at four psychiatric hospitals in the Canton of Zurich. The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. In order to prove its effectiveness the intervention programme will be

  18. Original article The effects of kangaroo mother care in a sample of preterm, preschool aged children

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    Magdalena Chrzan-Dętkoś

    2014-08-01

    Full Text Available Background The research has shown that kangaroo mother care has a protective impact both on health and future cognitive skills of prematurely born babies. The aim of this study was to investigate the relation between the early skin-to-skin contact and the cognitive and emotional-social functioning of preschool aged preterm babies. Participants and procedure The study group included 99 preterm babies. The children participated in a psychological examination conducted using the Columbia Mental Maturity Scale and the Terman-Merrill Test. The data concerning the skin-to-skin contact during the child’s hospitalisation were acquired during interviews with mothers. The emotional development was assessed on the basis of interviews with mothers, conducted using the Rescorla DSM-IV Orientation Scale (2005. Results The study showed no relation between kangaroo mother care and cognitive development. Nevertheless the early skin-to-skin contact turned out to be connected with the emotional functioning of the subjects. Preterm babies who used to experience kangaroo mother care experienced fewer anxiety and depressive disorders than those who did not. In addition it was revealed that the children who suffered from early damage to the brain in the forms of intraventricular and periventricular haemorrhages and experienced kangaroo mother care demonstrated less intense depressive symptoms than those who did not. Conclusions The obtained results, combined with the review of the foreign literature of the subject, indicate the usefulness of introducing kangaroo mother care to neonatal wards and encouraging parents to care about their prematurely born babies in such a way.

  19. Maternal care, mother-offspring aggregation and age-dependent coadaptation in the European earwig.

    Science.gov (United States)

    Gómez, Y; Kölliker, M

    2013-09-01

    Benefits and costs of parental care are expected to change with offspring development and lead to age-dependent coadaptation expressed as phenotypic (behavioural) matches between offspring age and parental reproductive stage. Parents and offspring interact repeatedly over time for the provision of parental care. Their behaviours should be accordingly adjusted to each other dynamically and adaptively, and the phenotypic match between offspring age and parental stage should stabilize the repeated behavioural interactions. In the European earwig (Forficula auricularia), maternal care is beneficial for offspring survival, but not vital, allowing us to investigate the extent to which the stability of mother-offspring aggregation is shaped by age-dependent coadaptation. In this study, we experimentally cross-fostered nymphs of different age classes (younger or older) between females in early or late reproductive stage to disrupt age-dependent coadaptation, thereby generating female-nymph dyads that were phenotypically matched or mismatched. The results revealed a higher stability in aggregation during the first larval instar when care is most intense, a steeper decline in aggregation tendency over developmental time and a reduced developmental rate in matched compared with mismatched families. Furthermore, nymph survival was positively correlated with female-nymph aggregation stability during the early stages when maternal care is most prevalent. These results support the hypothesis that age-related phenotypically plastic coadaptation affects family dynamics and offspring developmental rate.

  20. The Current Crisis in Emergency Care and the Impact on Disaster Preparedness

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    Trainer Marcia

    2008-05-01

    Full Text Available Abstract Background The Homeland Security Act (HSA of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. Discussion After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. Summary Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

  1. The Effect of Kangaroo Mother Care (KMC Duration on Physical Growth of Low Birth Weight Infants

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    B. Basiri

    2014-04-01

    Full Text Available Introduction & Objective: Low birth weight is one of the major causes of neonatal morbidity and mortality. Although in different studies the effect of kangaroo mother care on the growth of low birth weight infants had been examined, this study was planned to determine the effect of duration of KMC on the growth of LBW infants in NICU, Fatemieh hospital, Hamadan, 2012. Material & Methods: This study is a randomized clinical trial on 115 under weight infants who were randomly assigned into two groups. Up to 4 hours a day new born infants in the first group and more than 4 hours the second group, were cared for by their mother using KMC method. Both groups were analyzed and evaluated with regard to their weight, body tempera-ture, oxygen saturation, frequency of feeding, and infection in the third and fifth days after KMC. Data were analyzed using SPSS software, ?2 and t-test. Results: Mean (SD weight, oxygen saturation, frequency of feeding in the group receiving Kangaroo care more than 4 hours were more than the recipients of kangaroo care less than 4 hours(P<0.05. Significant differences between the groups in terms of body temperature, infection, and mortality were not observed. Conclusions: KMC more than 4 hours a day is more beneficial than that of less than 4 hours a day in terms of developmental and physiological measures in low birth weight infants. There-fore, it highly suggested that the health practitioners and policy makers consider the benefits, impacts and strategies to increase the duration of KMC. (Sci J Hamadan Univ Med Sci 2014; 21 (1:8-15

  2. Changing poor mothers' care-seeking behaviors in response to childhood illness: findings from a cross-sectional study in Granada, Nicaragua

    OpenAIRE

    Jimba Masamine; Sakisaka Kayako; Hanada Kyo

    2010-01-01

    Abstract Background In 2008, approximately 8.8 million children under 5 years of age died worldwide. Most of these deaths occurred in developing countries, but little is known about poor mothers' care-seeking behaviors for their children. We examined poor mothers' care-seeking behaviors in response to childhood illness, and identified factors affecting their choices. We also assessed mothers' perception of the medical services and their confidence in the health care available for their childr...

  3. Uso do copinho no alojamento canguru Cup-feeding in kangaroo mother care

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    Vívian Passos Lima

    2008-03-01

    Full Text Available OBJETIVO: avaliar o manejo das mães no uso do copinho e analisar os aspectos que interferem para administração dessa técnica. MÉTODOS: a amostra foi composta de 30 binômios mãe/bebê. O estudo desenvolvido foi transversal de correlação. Foram realizadas coletas nos prontuários das mães e do bebê, executada uma observação das mães ofertando a dieta no copinho e aplicado um questionário com perguntas sobre o uso do copo. A análise dos resultados foi realizada por meio do programa software estatístico, SPSS 13.0. Aplicou-se testes de estatística descritiva, mais especificamente a distribuição das freqüências e das percentagens relativas de cada dado observado. Em relação à associação entre as variáveis estudadas foram utilizados os seguintes testes: teste Qui-Quadrado, com nível de significância de 5% (pPURPOSE: to evaluate cup feeding manipulation by mothers of low weight preterm infants' and to analyze the aspects that interfere in the correct use of this technique. METHODS: a cross-section correlation study was conducted. The sample included 30 pairs of mothers and babies. Data collection was based on patient' charts; interviews with the newborn' mothers and observing a diet offered in a cup feeding by mothers. The analysis of the results was based on the Software Statistical Package Social Sciences (SPSS 13.0. We used descriptive statistical techniques through the distribution of the frequencies and the relatives percentages of each observed data. The Chi-square test and the Sperman Correlation Coeficient were used to analyze association between the variables (p<0.05. RESULTS: there is a significant relation between the babies' posture, the cup feeding, the volume given and the health professional guidance about cup feeding. CONCLUSION: mothers can manipulate the cup feeding, however, they need healthy professional guidance on this technique (cup feeding and the milk's volume; mainly in relation to the care with

  4. Impact of the east Asian economic crisis on health and health care: Malaysia's response.

    Science.gov (United States)

    Suleiman, A B; Lye, M S; Yon, R; Teoh, S C; Alias, M

    1998-01-01

    In the wake of the east Asian economic crisis, the health budget for the public sector in Malaysia was cut by 12%. The Ministry of Health responded swiftly with a series of broad-based and specific strategies. There was a careful examination of the operating expenditure and where possible measures were taken to minimise the effects of the budget constraints at the service interface. The MOH reprioritised the development of health projects. Important projects such as rural health projects and training facilities, and committed projects, were continued. In public health, population-based preventive and promotive activities were expected to experience some form of curtailment. There is a need to refocus priorities, maximise the utilisation of resources, and increase productivity at all levels and in all sectors, both public and private, in order to minimise the impact of the economic downturn on health.

  5. Mothering and the Work of Educational Care--An Integrative Approach

    Science.gov (United States)

    Golden, Deborah; Erdreich, Lauren

    2014-01-01

    This article, through looking at mothers' modes of engagement with their children's education, proposes an integrative analytical approach to the study of the making of mothers, mothering, and motherhood. The article presents and brings into dialogue four different bodies of anthropological and sociological literature: mothering as a…

  6. Increased Food Insecurity Among Mothers of 2 Year Olds with Special Health Care Needs.

    Science.gov (United States)

    Adams, Elizabeth J; Hoffmann, Laurel M; Rosenberg, Kenneth D; Peters, Dawn; Pennise, Melissa

    2015-10-01

    The objective of this study is to explore the association between having a child with special health care needs (CSHCN) and food insecurity when the child is 2 years old. We studied women who had a live birth in 2004-2005 and responded to Oregon's Pregnancy Risk Assessment Monitoring System (PRAMS) survey 3 months postpartum (Time 1) and the follow-up survey (PRAMS-2), when the child was 2 years old (Time 2). Women answering affirmatively to the PRAMS-2 question, "In the last 12 months, did you ever eat less than you felt you should because there was not enough money for food?" were considered food insecure. CSHCN status was identified by affirmative responses to questions about needs for ongoing services (Time 2). PRAMS and PRAMS-2 responses were weighted for study design and non-response. Results report weighted analyses, unless noted. Among 1812 mothers completing PRAMS-2, 13.6 % (unweighted) had a 2-year-old CSHCN and 11.9 % (unweighted) were food insecure at Time 2. The estimated prevalence of food insecurity at 2-year follow-up was 20.7 % among families of CSHCN and 9.7 % for others. After adjustment for Time 2 marital status, education, lifetime U.S. residence, income and health conditions, multivariable logistic regression revealed that odds of food insecurity were more than two times as great for CSHCN mothers 2 years post-partum compared to non-CSHCN mothers (adjusted odds ratio 2.6, 95 % confidence interval 1.3, 4.6). Families of CSHCN face increased risk for food insecurity. Improved understanding of causal determinants of food insecurity among households of CSHCN is needed.

  7. The Unwed Mother: Implications For Family Life Educators

    Science.gov (United States)

    Burkart, Joan; Whatley, Alice Elrod

    1973-01-01

    The family life educator is in a strategic position to assist in designing school and community programs for the unwed mother and the child. It appears important that the theories of causation be explored without bias; that prenatal and postnatal care be offered; that mental health consultation, therapy and crisis-therapy be promoted and the…

  8. Statutory caps: an involuntary contribution to the medical malpractice insurance crisis or a reasonable mechanism for obtaining affordable health care?

    Science.gov (United States)

    Chupkovich, P J

    1993-01-01

    extremely important in light of proposed health care legislation entitled the Health Care Liability Reform and Quality of Care Improvement Act of 1992 [the "Health Care Bill"]. This Comment critically examines the constitutionality of statutory caps on damages in medical malpractice actions. It focuses on the public policy behind the caps and the constitutional issues embodied in limiting an individual's recovery. It also analyzes the impact of the Health Care Bill on statutory caps. Part I outlines the medical malpractice insurance crisis, describes the statutory reforms and discusses the public policy behind tort reform. Part II examines the constitutionality of statutory caps and summarizes the arguments of the proponents and the opponents of these caps. Part III discusses the Health Care Bill and its impact on medical malpractice legislation with respect to statutory caps. This Comment concludes that a compromise must be reached that addresses both the growing health care insurance crisis and the protection of individual rights. The Health Care Liability Reform and Quality of Care Improvement Act of 1992 attempts to achieve this compromise.

  9. The role of mothers-in-law in antenatal care decision-making in Nepal: a qualitative study

    Directory of Open Access Journals (Sweden)

    van Teijlingen Edwin R

    2010-07-01

    Full Text Available Abstract Background Antenatal care (ANC has been recognised as a way to improve health outcomes for pregnant women and their babies. However, only 29% of pregnant women receive the recommended four antenatal visits in Nepal but reasons for such low utilisation are poorly understood. As in many countries of South Asia, mothers-in-law play a crucial role in the decisions around accessing health care facilities and providers. This paper aims to explore the mother-in-law's role in (a her daughter-in-law's ANC uptake; and (b the decision-making process about using ANC services in Nepal. Methods In-depth interviews were conducted with 30 purposively selected antenatal or postnatal mothers (half users, half non-users of ANC, 10 husbands and 10 mothers-in-law in two different (urban and rural communities. Results Our findings suggest that mothers-in-law sometime have a positive influence, for example when encouraging women to seek ANC, but more often it is negative. Like many rural women of their generation, all mothers-in-law in this study were illiterate and most had not used ANC themselves. The main factors leading mothers-in-law not to support/encourage ANC check ups were expectations regarding pregnant women fulfilling their household duties, perceptions that ANC was not beneficial based largely on their own past experiences, the scarcity of resources under their control and power relations between mothers-in-law and daughters-in-law. Individual knowledge and social class of the mothers-in-law of users and non-users differed significantly, which is likely to have had an effect on their perceptions of the benefits of ANC. Conclusion Mothers-in-law have a strong influence on the uptake of ANC in Nepal. Understanding their role is important if we are to design and target effective community-based health promotion interventions. Health promotion and educational interventions to improve the use of ANC should target women, husbands and family members

  10. Promising Outcomes in Teen Mothers Enrolled in a School-Based Parent Support Program and Child Care Center

    Science.gov (United States)

    Sadler, Lois S.; Swartz, Martha K.; Ryan-Krause, Patricia; Seitz, Victoria; Meadows-Oliver, Mikki; Grey, Margaret; Clemmens, Donna A.

    2007-01-01

    Background: This study described a cohort of teen mothers and their children attending an urban high school with a parent support program and school-based child care center. Specific aims of the study were to describe maternal characteristics and outcomes, and child developmental and health outcomes. Methods: A volunteer sample of 65 adolescent…

  11. Early Full-Time Day Care, Mother-Child Attachment, and Quality of the Home Environment in Chile: Preliminary Findings

    Science.gov (United States)

    Cárcamo, Rodrigo A.; Vermeer, Harriet J.; van der Veer, René; van IJzendoorn, Marinus H.

    2016-01-01

    Research Findings: Two longitudinal studies are reported examining the effects of full-time day care in Mapuche and non-Mapuche families in Chile. First, the Magellan-Leiden Childcare Study (MLCS) used a sample of 95 mothers with children younger than 1 year old (n = 36 in day care). Second, we partially cross-validated our results in a large and…

  12. The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the Medical Home

    OpenAIRE

    DeCamp, Lisa Ross; Kieffer, Edith; Zickafoose, Joseph S.; DeMonner, Sonya; Valbuena, Felix; Davis, Matthew M.; Heisler, Michele

    2013-01-01

    The objective of this study is to inform medical home implementation in practices serving limited English proficiency Latino families by exploring limited English proficiency Latina mothers’ experiences with, and expectations for, pediatric primary care. In partnership with a federally-qualified community health center in an urban Latino neighborhood, we conducted semi-structured interviews with 38 low-income Latina mothers. Eligible participants identified a pediatric primary care provider f...

  13. Breastfeeding: Mothers and health practitioners in the context of private medical care in Gauteng

    Directory of Open Access Journals (Sweden)

    Diana du Plessis

    2009-04-01

    Full Text Available Despite the well-documented health benefits of breastfeeding and recommendations by the Department of Health for women to exclusively breastfeed for approximately the first six months of life and continuation beyond one year, a large percentage of South African women do not breastfeed their infants, or only do so for a short period of time. No national South African statistics are available but figures emerging from the attendance of mothers at a baby clinic on the West Rand in Gauteng indicated the following: 64% of the mothers breastfeed up to six weeks, after which the figure rapidly declines to less than 20% at three months (Truter 2007. Several studies have assessed the attitudes of health care personnel towards breastfeeding, but little is known of the type of information given to breastfeeding mothers by private medical practitioners who are the frontline of contact with clients and who may convey information that either promotes or discourages breastfeeding. The following question was thus formulated: With regard to breastfeeding, what are the constraints to breastfeeding in private practice?

    Therefore, in order to understand the constraints to breastfeeding, the purpose of this study was to assess the breastfeeding information given to pregnant women by health professionals in private practice. The specific objectives of the study were to determine the breastfeeding recommendations made by private health professionals during pregnancy, to describe the management of breastfeeding in the consulting rooms of private medical practitioners, and to describe women’s experiences of breastfeeding in private hospitals. In Phase 1 of the study the population comprised all mothers who attended a support group for new mothers at a private post-natal clinic In Phase 2 the population comprised all mothers who attended a community baby clinic or support group. The sample consisted of all primigravidae who breastfed or attempted to breastfeed in the

  14. Health Behaviors, Mental Health, and Health Care Utilization Among Single Mothers After Welfare Reforms in the 1990s.

    Science.gov (United States)

    Basu, Sanjay; Rehkopf, David H; Siddiqi, Arjumand; Glymour, M Maria; Kawachi, Ichiro

    2016-03-15

    We studied the health of low-income US women affected by the largest social policy change in recent US history: the 1996 welfare reforms. Using the Behavioral Risk Factor Surveillance System (1993-2012), we performed 2 types of analysis. First, we used difference-in-difference-in-differences analyses to estimate associations between welfare reforms and health outcomes among the most affected women (single mothers aged 18-64 years in 1997; n = 219,469) compared with less affected women (married mothers, single nonmothers, and married nonmothers of the same age range in 1997; n = 2,422,265). We also used a synthetic control approach in which we constructed a more ideal control group for single mothers by weighting outcomes among the less affected groups to match pre-reform outcomes among single mothers. In both specifications, the group most affected by welfare reforms (single mothers) experienced worse health outcomes than comparison groups less affected by the reforms. For example, the reforms were associated with at least a 4.0-percentage-point increase in binge drinking (95% confidence interval: 0.9, 7.0) and a 2.4-percentage-point decrease in the probability of being able to afford medical care (95% confidence interval: 0.1, 4.8) after controlling for age, educational level, and health care insurance status. Although the reforms were applauded for reducing welfare dependency, they may have adversely affected health. PMID:26946395

  15. Supporting factors and barriers in implementing kangaroo mother care in Indonesia

    Directory of Open Access Journals (Sweden)

    Hadi Pratomo

    2012-01-01

    Full Text Available Background Kangaroo mother care (KMC was introduced to Indonesia in the 1990s. Since then, KMC has not been widely implemented and has not received national policy support. Objective The objectives of this case study were to implement KMC by an intervention that would ultimately benefit ten hospitals in Java, Indonesia, as well as identify supporting factors and barriers to KMC implementation. Methods An intervention with four phases was conducted in ten hospitals. Two teaching hospitals were supported to serve as training centers, six hospitals were supported to implement KMC and two other hospitals were supported to strengthen existing KMC practices. The four phases were comprised of a baseline assessment, a five-day training workshop, two supervisory visits to each hospital, and an end-line assessment. Results A total of 344 low birth weight infants received KMC during the intervention period. Good progress with regards to implementation was observed in most hospitals between the first and second supervisory visits. Supporting factors for KMC were the following: support received from hospital management, positive attitudes of healthcare providers, patients, families and communities, as well as the availability of resources. The most common challenges were record keeping and data collection, human resources and staff issues, infrastructure and budgets, discharge and follow-up, as well as family issues. Challenges related to the family were the inability of the mother or family to visit the infant frequently to provide KMC, and the affordability of hospital user fees for the infant to stay in the hospital for a sufficient period of time. Conclusion KMC appeared to be well accepted in most hospitals. For an intervention to have maximum impact, it is important to integrate services and maintain a complex network of communication systems. [Paediatr Indones. 2012;52:43-50].

  16. Traditional Baby Care Practices of Mothers of Children Aged 6-12 Months in The Provincial Centre of Trabzon, Turkey

    OpenAIRE

    Ilknur Kahriman; Murat Topbas; Gamze Can

    2011-01-01

    Aim: To evaluate traditional baby care practices employed by mothers in the Turkish province of Trabzon. Materials and methods: This descriptive study was planned around babies born in the provincial center of Trabzon between 1 June and 31 December, 2005, and aged 6-12 months at the time of the research. Data were collected in July-September 2006. In order to determine sampling size the prevalence of mothers using traditional practices was calculated at 50%, with a deviation of 0.05, giving a...

  17. Use of antidepressants in the treatment of major depressive disorder in primary care during a period of economic crisis

    Directory of Open Access Journals (Sweden)

    Sicras-Mainar A

    2015-12-01

    Full Text Available Antoni Sicras-Mainar,1 Ruth Navarro-Artieda2 1Research Unit, Badalona Serveis Assistencials SA, 2Medical Documentation Unit, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain Objective: To describe antidepressant (AD use in the treatment of major depressive disorder during a period of economic crisis.Patients and methods: This was a retrospective, observational study using population-based databases. Two periods were considered: 1 2008–2009, precrisis, and 2 2012–2013, economic crisis. Certain inclusion/exclusion criteria were taken into account for the study (initiation of AD treatment. Patients were followed up for 12 months. The main measures were use (defined daily doses, epidemiologic measures, strategies used and treatment persistence, referrals, and use of resources. Statistical significance was set at P<0.05.Results: In the precrisis period, 3,662 patients were enrolled, and 5,722 were enrolled in the period of economic crisis. Average age was 58.8 years and 65.4% were women. Comparing the two periods, major depressive disorder prevalence was 5.4% vs 8.1%, P<0.001. During the period of economic crisis, AD use rose by 35.2% and drug expenditures decreased by 38.7%. Defined daily dose per patient per day was 10.0 mg vs 13.5 mg, respectively, P<0.001. At 12-month follow-up, the majority of patients (60.8% discontinued the treatment or continued on the same medication as before, and in 23.3% a change of AD was made.Conclusion: Primary health care professionals are highly involved in the management of the illness; in addition, during the period of economic crisis, patients with major depressive disorder showed higher rates of prevalence of the illness, with increased use of AD drugs. Keywords: consumption, antidepressants, economic crisis

  18. CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

    Directory of Open Access Journals (Sweden)

    N. I. Gaponova

    2012-01-01

    Full Text Available Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.

  19. CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

    Directory of Open Access Journals (Sweden)

    N. I. Gaponova

    2015-12-01

    Full Text Available Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.

  20. Financial crisis and austerity measures in Greece: their impact on health promotion policies and public health care.

    Science.gov (United States)

    Ifanti, Amalia A; Argyriou, Andreas A; Kalofonou, Foteini H; Kalofonos, Haralabos P

    2013-11-01

    This review study explores the available data relating to the impact of financial crisis and subsequently applied austerity measures on the health care, social services and health promotion policies in Greece. It is evident that Greece is affected more than any other European country by the financial crisis. Unemployment, job insecurity, income reduction, poverty and increase of mental disorders are among the most serious consequences of crisis in the socioeconomic life. The health system is particularly affected by the severe austerity measures. The drastic curtailing of government spending has significantly affected the structure and functioning of public hospitals that cope with understaffing, deficits, drug shortage and basic medical supplies. Moreover, health promotion policies are constrained, inhibiting thus the relevant initiatives toward disease prevention and health promotion education practices. Overall, the current economic situation in Greece and its impact on real life and health care is quite concerning. Policy makers should not disregard the implications that austerity and fiscal policies have on the health sector. Greater attention is needed in order to ensure that individuals would continue getting public health care and having access to preventive and social support services. To face the economic hardship, policy makers are expected to implement human-centered approaches, safeguarding the human dignity and the moral values.

  1. Missionising Youth Identity Crisis : Towards a missional hermeneutic of care in youth ministry practice

    NARCIS (Netherlands)

    Counted, Victor

    2016-01-01

    The intention of this paper is to interpret the ontological conditions of youth identity crisis missionally. This is first done by conceptualising identity crisis as a psychological phenomenon using frameworks of authenticity and attachment to explain the impact of early attachment abuse, abandonmen

  2. A comparison of two stress-reduction treatments for mothers of neonates hospitalized in a neonatal intensive care unit.

    Science.gov (United States)

    Cobiella, C W; Mabe, P A; Forehand, R L

    1990-01-01

    Thirty mothers of preterm infants requiring neonatal intensive care unit (NICU) hospitalization were assigned randomly to one of three groups to assess differences in treatment effectiveness of facilitating parental adaptation to the NICU stresses. Groups consisted of: (a) a treatment group receiving videotape training in active problem-focused coping strategies; (b) a treatment group receiving videotape training in emotion-focused strategies to help manage anxiety; and (c) a control group receiving promotional information about the hospital and the NICU. On pretreatment measures most of the mothers exhibited little distress, a finding unlike those for the majority of NICU studies. On posttreatment follow-up both the problem-focused and emotion-focused treatment groups were significantly less anxious than the controls and lower levels of depression were observed for the emotion-focused group. Findings suggest that the coping interventions examined were cost efficient and appear promising in facilitating mothers' coping with NICU stresses. PMID:10104960

  3. Barriers and Incentives to Orphan Care in a Time of AIDS and Economic Crisis: A Cross-Sectional Survey of Caregivers in Rural Zimbabwe

    Science.gov (United States)

    Howard, Brian H.; Phillips, Carl V.; Matinhure, Nelia; Goodman, Karen J.; McCurdy, Sheryl A; Johnson, Cary A.

    2007-01-01

    Background: Africa is in an orphan-care crisis. In Zimbabwe, where one-fourth of adults are HIV-positive and one-fifth of children are orphans, AIDS and economic decline are straining society's ability to care for orphans within their extended families. Lack of stable care is putting thousands of children at heightened risk of malnourishment,…

  4. The financial crisis and health care systems in Europe: universal care under threat? Trends in health sector reforms in Germany, the United Kingdom, and Spain

    OpenAIRE

    Lígia Giovanella; Klaus Stegmüller

    2014-01-01

    The paper analyzes trends in contemporary health sector reforms in three European countries with Bismarckian and Beveridgean models of national health systems within the context of strong financial pressure resulting from the economic crisis (2008-date), and proceeds to discuss the implications for universal care. The authors examine recent health system reforms in Spain, Germany, and the United Kingdom. Health systems are described using a matrix to compare state intervention in financing, r...

  5. Four Years Later: Rural Mothers' and Employers' Perspectives on Breastfeeding Barriers Following the Passage of the Affordable Care Act.

    Science.gov (United States)

    Majee, Wilson; Jefferson, Urmeka T; Goodman, Laurel R; Olsberg, Joshua E

    2016-01-01

    For the working rural mother, one key source of support for breastfeeding is the employer. The purpose of this article was to examine workplace barriers and facilitators to breastfeeding in a small rural American community following the passage of the Affordable Care Act in 2010. We used a qualitative research design: semi-structured interviews with major employers and low-income working breastfeeding mothers, and a focus-group with another group of employed and unemployed breastfeeding low-income mothers. While some businesses accommodate breastfeeding mothers, few actively promote breastfeeding. Lack of compliance with the new law, inadequate breastfeeding information for mothers, and lack of support from co-workers and supervisors emerged as the main barriers to successful workplace breastfeeding. To improve workplace breastfeeding support significantly there is need for authentic collaboration among maternal-child and rural health agencies and businesses in creating breastfeeding-tolerant, flexible, and forward-looking work environments that, at a minimum, satisfy the law. PMID:27524755

  6. Aiming to be a breastfeeding mother in a neonatal intensive care unit and at home: a thematic analysis of peer-support group discussion in social media.

    Science.gov (United States)

    Niela-Vilén, Hannakaisa; Axelin, Anna; Melender, Hanna-Leena; Salanterä, Sanna

    2015-10-01

    Preterm infants are usually breastfed less than full-term infants, and successful breastfeeding requires a supportive environment and special efforts from their mothers. A breastfeeding peer-support group, utilising social media, was developed for these mothers in order to support them in this challenge. Mothers were able to discuss breastfeeding and share experiences. The purpose of this study was to describe the perceptions of breastfeeding mothers of preterm infants based on the postings in peer-support group discussions in social media. The actively participating mothers (n = 22) had given birth social media postings (n = 305) were analysed using thematic analysis. A description of the process of breastfeeding a preterm infant from the point of view of a mother was created. The process consisted of three main themes: the breastfeeding paradox in hospital, the 'reality check' of breastfeeding at home and the breastfeeding experience as part of being a mother. The mothers encountered paradoxical elements in the support received in hospital; discharge was promoted at the expense of breastfeeding and pumping breast milk was emphasised over breastfeeding. After the infant's discharge, the over-optimistic expectations of mothers often met with reality - mothers did not have the knowledge or skills to manage breastfeeding at home. Successful breastfeeding was an empowering experience for the mothers, whereas unsuccessful breastfeeding induced feelings of disappointment. Therefore, the mothers of preterm infants need evidence-based breastfeeding counselling and systematic support in a neonatal intensive care unit (NICU) and at home.

  7. Crisis states of Helpline subscribers: issues of diagnosis and psychological care

    Directory of Open Access Journals (Sweden)

    G.S. Bannikov

    2014-08-01

    Full Text Available In recent years, the number of calls to the Helpline from people who are in crisis state, often with suicidal tendencies, has increased significantly. It is therefore particularly important that a helpline counselor had instant recognition skills of crisis state and the ability to quickly build a strategy for crisis counseling. The study described in the article was focused on crisis state structure of helpline subscribers using developed “Crisis state maps”. The subject of the study was the critical state of the individual subscribers seeking psychological help. We tested the assumption that the strategies and methods of psychological assistance are directly related to the features of crisis. We studied crisis state in 70 subscribers. Of these, 59 were females (12 to 66 years old and 11 males (11 to 40 years old. The average age of women was 34,5 years, of men – 23,4 years. The overall average age was 28,65 years. The study result was the portrait of typical helpline subscriber personality. We show the possible strategies of counseling

  8. Follow-Up of the Cues and Care Trial: Mother and Infant Outcomes at 6 Months

    Science.gov (United States)

    Feeley, Nancy; Zelkowitz, Phyllis; Shrier, Ian; Stremler, Robyn; Westreich, Ruta; Dunkley, David; Steele, Russell; Rosberger, Zeev; Lefebvre, Francine; Papageorgiou, Apostolos

    2012-01-01

    The long-term effects of the Cues intervention to reduce anxiety and enhance the interactive behavior of mothers of very low birth weight (VLBW) infants were investigated. A randomized trial comparing the Cues intervention to an attention control condition was conducted. A total of 122 mothers of newborns weighing less than 1,500 g were…

  9. On the Long-term Health Care Crisis. A Possible Eradication Scenario

    OpenAIRE

    Isea, Raul; Bai, Er W.; Lonngren, Karl E.

    2011-01-01

    The purpose of the present essay is to suggest a possible model to describe the worldwide healthcare crisis, where diseases that have been considered to be eradicated or under our control are re-emerging today.

  10. The Health and Well-Being of Black Mothers Who Care for Their Adult Children With Schizophrenia

    OpenAIRE

    Magaña, Sandy M.; Greenberg, Jan S.; Seltzer, Marsha M.

    2004-01-01

    This study compared the mental and physical health of two groups of black mothers aged 55 years and older: those who were providing care for their adult child with schizophrenia or schizoaffective disorder (N=30) and those who did not have a child with mental illness (N=263). The only demographic variable that was found to differ between the two groups was that the women who were providing care for their adult child with mental illness had more children than the women in the comparison group....

  11. Design of a breathing mattress based on the respiratory movement of kangaroo mother care for the development of neonates.

    Science.gov (United States)

    Schets, M W M; Chen, W; Bambang Oetomo, S

    2015-08-01

    Kangaroo mother care (KMC) benefits the development of neonates. This paper focuses on the design and implementing the extension of KMC for infants at Neonatal Intensive Care Units (NICU). A breathing mattress is proposed to comfort infants and stimulate them to breathe regularly by mimicking the movement of the parent's chest during KMC. The incubator mattress simulates the breathing of the parent's chest with embedded electronics and pneumatic technology for mattress motion actuating systems. The stakeholders, including the child, parents and NICU staff, were directly involved during the concept development, prototyping and evaluation. PMID:26737846

  12. [Evaluation of the cascade of care in prevention of mother-to-child HIV transmission in Brazil].

    Science.gov (United States)

    Miranda, Angelica Espinosa; Pereira, Gerson Fernando Mendes; Araujo, Maria Alix Leite; Silveira, Mariangela Freitas da; Tavares, Leonor De Lannoy; Silva, Leila Cristina Ferreira da; Moreira-Silva, Sandra Fagundes; Saraceni, Valéria

    2016-01-01

    This study aimed to assess the cascade of care in the reduction of mother-to-child HIV transmission in the states of Amazonas, Ceará, Espírito Santo, Rio de Janeiro, and Rio Grande do Sul and the Distrito Federal, Brazil, using data from the Brazilian Information System on Diseases of Notification (SINAN). From 2007 to 2012, there was an increase (from 7.3% in Distrito Federal to 46.1% in Amazonas) in intra-gestational detection of HIV in 5 states, with a 18.6% reduction in Rio de Janeiro. Fewer than 90% of the women received antiretroviral therapy during their prenatal care, including those that already knew they were HIV-positive. The elective cesarean rate was low. The AIDS detection rate in children under 5 years as a proxy for mother-to-child HIV transmission showed a reduction of 6.3% from 2007 to 2012, and was highest in Rio Grande do Sul (50%), the state with the highest rates in the period, while Espírito Santo showed the highest increase (50%). Evaluation of the cascade of HIV care in pregnant women identified flaws in all the points. A link is needed between primary care and referral centers for HIV/AIDS, organizing care for the family and better outcomes for the children. PMID:27653199

  13. The impact of caring for children with mental retardation on families as perceived by mothers in Karachi, Pakistan

    International Nuclear Information System (INIS)

    Objective: To assess how families perceive the positive and negative impacts of caring for a child with mental retardation. Methods: The quantitative descriptive study was conducted from January to August 2007 and comprised 54 families attending a private day-care centre for children with special needs in Karachi, Pakistan. The Kansas Inventory of Parental Perceptions was used to assess mothers' perceptions on the impact of caring for a child with mental retardation. Positive contributions, social comparisons with others, understanding of disability and perception of control were assessed. SPSS 16 was used for statistical analysis. Results: Mothers reported positive contribution to family life as a result of caring for a child with mental retardation (Mean: 2.95+-0.37). There was an acceptance of the situation and a trend towards upward favourable comparison with other families (Mean: 3.13+-0.07). Conclusions: Contrary to earlier studies exploring the impact of caring for a child with disabilities having largely focused on negative contributions, the study highlights some positive contributions. (author)

  14. Prognostic factors for success in the Kangaroo Mother Care method for low birth weight babies

    Directory of Open Access Journals (Sweden)

    Rina Pratiwi

    2016-02-01

    Full Text Available Background Low birth weight (LBW is closely related to neonatal morbidity and mortality. Management of LBW infants in developing countries remains limited, due to the low availability of incubators. The Kangaroo Mother Care (KMC method has been shown to be effective for newborns, especially LBW infants, in which skin-to-skin contact may be conducive for infants’ weight gain, thermoregulation, and heart rate stability.Objective To determine the prognostic factors for KMC success in LBW babies.Methods This cohort study included LBW infants at Dr. Kariadi General Government Hospital, Semarang, by a consecutive sampling method. Success of KMC was assessed by infant weight gain, as well as stabilization of temperature, heart rate, and respiration. Prognostic factors for KMC success that we assessed were birth weight, gestational age, KMC duration, age at KMC onset and maternal education level. Statistical analyses used were Chi-square and relative risk (RR tests.Results Of 40 LBW infants, 24 were successful in KMC. Birth weight ≥ 1500 grams (RR 0.4; 95%CI 0.23 to 0.73; P=0.001], gestational age ≥ 34 weeks (RR 0.94; 95%CI 0.46 to 1.89; P=1.00, KMC duration ≥ 65 minutes (RR 1.44; 95%CI 0.76 to 2.75; P= 0.215, high maternal education level (RR 1.25; 95%CI 0.76 to 2.04; P=0.408, and age at KMC onset >10 days (RR 2.69; 95%CI 1.14 to 6.32; P=0.003, were factors that related to the successful of KMC.Conclusion Age at KMC onset > 10 days was a prognostic factor for KMC success in low birth weight babies.

  15. Practice related factors that may impact on postpartum care for mothers and infants in Australian general practice: a cross-sectional survey

    OpenAIRE

    Brodribb, Wendy E; Mitchell, Benjamin L; van Driel, Mieke L

    2016-01-01

    Background While there is a significant focus on the health and well-being of women during pregnancy, labour and birth, much less emphasis is placed on the care of postpartum women and their infants in primary care following the birth. Some studies have investigated the role of GPs in postpartum care, and others examined facilitators and barriers to mothers accessing care. However there is little information available to investigate the effect of practice related factors on access to care of ...

  16. Mothers' AdvocateS In the Community (MOSAIC)- non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary care

    OpenAIRE

    Gold Lisa; Watson Lyndsey F; Hegarty Kelsey L; Small Rhonda; Taft Angela J; Lumley Judith A

    2011-01-01

    Abstract Background Effective interventions to increase safety and wellbeing of mothers experiencing intimate partner violence (IPV) are scarce. As much attention is focussed on professional intervention, this study aimed to determine the effectiveness of non-professional mentor support in reducing IPV and depression among pregnant and recent mothers experiencing, or at risk of IPV. Methods MOSAIC was a cluster randomised trial in 106 primary care (maternal and child health nurse and general ...

  17. 危机管理在急诊护理管理中的应用%Application of crisis management in the acute care management

    Institute of Scientific and Technical Information of China (English)

    彭娟

    2013-01-01

    目的对危机管理在急诊护理管理中的应用进行探讨。方法通过对急诊护理中实施的危机因素和危机管理策略进行分析。结果在急诊护理管理中通过实施危机管理,有效的提高了护理人员的危机意识、工作积极性和反应能力,患者对护理人员的评价也得到了很大的提高。结论急诊科护理过程中存在很多危机因素,采用危机管理能够在很大程度上避免这些危机因素,有效提高急诊护理质量,降低事故发生率,应积极采用。%Objective To explore the application of crisis management in the acute care management. Methods Analyzed the crisis factors and crisis management strategies in acute care. Results Nurses significantly improved crisis sense, work enthusiasm, efficiency and responsiveness all had been improved;After the implementation of crisis management,the hospital's crisis was greatly reduced, the evaluation of patients achieved nurses greatly improved. Conclusion There are many crisis factors in emergency department nursing process,the use of crisis management can largely avoided these crisis factors, it can effectively improve the quality of emergency care, reduce the accident rate, should be actively used.

  18. The financial crisis and health care systems in Europe: universal care under threat? Trends in health sector reforms in Germany, the United Kingdom, and Spain.

    Science.gov (United States)

    Giovanella, Lígia; Stegmüller, Klaus

    2014-11-01

    The paper analyzes trends in contemporary health sector reforms in three European countries with Bismarckian and Beveridgean models of national health systems within the context of strong financial pressure resulting from the economic crisis (2008-date), and proceeds to discuss the implications for universal care. The authors examine recent health system reforms in Spain, Germany, and the United Kingdom. Health systems are described using a matrix to compare state intervention in financing, regulation, organization, and services delivery. The reforms' impacts on universal care are examined in three dimensions: breadth of population coverage, depth of the services package, and height of coverage by public financing. Models of health protection, institutionality, stakeholder constellations, and differing positions in the European economy are factors that condition the repercussions of restrictive policies that have undermined universality to different degrees in the three dimensions specified above and have extended policies for regulated competition as well as commercialization in health care systems. PMID:25493982

  19. The financial crisis and health care systems in Europe: universal care under threat? Trends in health sector reforms in Germany, the United Kingdom, and Spain

    Directory of Open Access Journals (Sweden)

    Lígia Giovanella

    2014-11-01

    Full Text Available The paper analyzes trends in contemporary health sector reforms in three European countries with Bismarckian and Beveridgean models of national health systems within the context of strong financial pressure resulting from the economic crisis (2008-date, and proceeds to discuss the implications for universal care. The authors examine recent health system reforms in Spain, Germany, and the United Kingdom. Health systems are described using a matrix to compare state intervention in financing, regulation, organization, and services delivery. The reforms’ impacts on universal care are examined in three dimensions: breadth of population coverage, depth of the services package, and height of coverage by public financing. Models of health protection, institutionality, stakeholder constellations, and differing positions in the European economy are factors that condition the repercussions of restrictive policies that have undermined universality to different degrees in the three dimensions specified above and have extended policies for regulated competition as well as commercialization in health care systems.

  20. Knowledge and practice of mothers/care-takers towards diarrhoea and its treatment in rural communities in Ethiopia.

    Science.gov (United States)

    Ketsela, T; Asfaw, M; Belachew, C

    1991-10-01

    Diarrhoeal diseases are major causes of childhood morbidity and mortality in developing countries. Knowledge and practices of mothers or other care-takers of children are important determinants of the occurrence or outcome of diarrhoeal diseases. Base-line information on these variables is also needed for developing health education programmes and for formulating national policy on home fluid therapy. This study was conducted with the objectives of assessing the knowledge and practice of mothers and other caretakers of children towards diarrhoeal diseases and the sociodemographic correlates of adequate knowledge and practice. A study was conducted in the rural North, South, East and West Shewa Administrative Regions in April, 1990. A two-stage cluster sampling proportionate to size was used to select a total of 750 mothers or other caretakers. These were interviewed by trained and supervised health workers who used a pretested questionnaire. The three major ethnic groups were Oromo, Guragie and Hadya. Of the total respondents, 79.3% were illiterate, 78.5% got their water from unprotected sources, 88.9% had no latrines, 80.4% had no access to mass media and 7.1% spent more than 2 hours to reach to the nearest health facilities. Only 2.6% and 5.7% of mothers had adequate knowledge and practice on diarrhoea or its treatment, respectively. Age and educational level of mothers or other caretakers were found to be positively associated with adequate knowledge and practice towards diarrhoea and its treatment. The study clearly indicated that health education messages have not been effectively disseminated to the rural population. It is, therefore, strongly recommended that the Diarrhoeal Diseases Control Programme strengthens its communication activities through increasing persuasion of health workers who could serve as effective means of reaching the population who have access to health services.

  1. Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal.

    Science.gov (United States)

    Legido-Quigley, Helena; Karanikolos, Marina; Hernandez-Plaza, Sonia; de Freitas, Cláudia; Bernardo, Luís; Padilla, Beatriz; Sá Machado, Rita; Diaz-Ordaz, Karla; Stuckler, David; McKee, Martin

    2016-07-01

    Although Portugal has been deeply affected by the global financial crisis, the impact of the recession and subsequent austerity on health and to health care has attracted relatively little attention. We used several sources of data including the European Union Statistics for Income and Living Conditions (EU-SILC) which tracks unmet medical need during the recession and before and after the Troika's austerity package. Our results show that the odds of respondents reporting having an unmet medical need more than doubled between 2010 and 2012 (OR=2.41, 95% CI 2.01-2.89), with the greatest impact on those in employment, followed by the unemployed, retired, and other economically inactive groups. The reasons for not seeking care involved a combination of factors, with a 68% higher odds of citing financial barriers (OR=1.68, 95% CI 1.32-2.12), more than twice the odds of citing waiting times and inability to take time off work or family responsibilities (OR 2.18, 95% CI 1.20-3.98), and a large increase of reporting delaying care in the hope that the problem would resolve on its own (OR=13.98, 95% CI 6.51-30.02). Individual-level studies from Portugal also suggest that co-payments at primary and hospital level are having a negative effect on the most vulnerable living in disadvantaged areas, and that health care professionals have concerns about the impact of recession and subsequent austerity measures on the quality of care provided. The Portuguese government no longer needs external assistance, but these findings suggest that measures are now needed to mitigate the damage incurred by the crisis and austerity. PMID:27263063

  2. Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal.

    Science.gov (United States)

    Legido-Quigley, Helena; Karanikolos, Marina; Hernandez-Plaza, Sonia; de Freitas, Cláudia; Bernardo, Luís; Padilla, Beatriz; Sá Machado, Rita; Diaz-Ordaz, Karla; Stuckler, David; McKee, Martin

    2016-07-01

    Although Portugal has been deeply affected by the global financial crisis, the impact of the recession and subsequent austerity on health and to health care has attracted relatively little attention. We used several sources of data including the European Union Statistics for Income and Living Conditions (EU-SILC) which tracks unmet medical need during the recession and before and after the Troika's austerity package. Our results show that the odds of respondents reporting having an unmet medical need more than doubled between 2010 and 2012 (OR=2.41, 95% CI 2.01-2.89), with the greatest impact on those in employment, followed by the unemployed, retired, and other economically inactive groups. The reasons for not seeking care involved a combination of factors, with a 68% higher odds of citing financial barriers (OR=1.68, 95% CI 1.32-2.12), more than twice the odds of citing waiting times and inability to take time off work or family responsibilities (OR 2.18, 95% CI 1.20-3.98), and a large increase of reporting delaying care in the hope that the problem would resolve on its own (OR=13.98, 95% CI 6.51-30.02). Individual-level studies from Portugal also suggest that co-payments at primary and hospital level are having a negative effect on the most vulnerable living in disadvantaged areas, and that health care professionals have concerns about the impact of recession and subsequent austerity measures on the quality of care provided. The Portuguese government no longer needs external assistance, but these findings suggest that measures are now needed to mitigate the damage incurred by the crisis and austerity.

  3. Evaluation of the Effect of Sociodemographic Characteristics on the Satisfaction of Mothers in Neonatal Intensive Care Units in Turkey

    Directory of Open Access Journals (Sweden)

    Fatma Yılmaz

    2016-03-01

    Full Text Available Background: Patient and parent satisfaction is a significant indicator for the evaluation of quality of care in healthcare systems. This study aimed to evaluate the effect of sociodemographic characteristics on the satisfaction of the parents of newborns admitted in neonatal intensive care units (NICUs in maternity and infant disease hospitals. Methods: This descriptive study was conducted on 113 mothers with infants admitted in the NICU of a state hospital in Turkey during April 1-September 30, 2013.Data were collected using sociodemographic questionnaire and Pediatric Quality of Life Inventory (PedsQL healthcare satisfaction scale. Data analysis was performed using descriptive statistics (mean and percentage, T-test, Mann-Whitney U test, and Kruskal-Wallis test. Results: In this study, mean score of maternal satisfaction with NICU services was 65.66±20.01. No statistically significant differences were observed between maternal age, PedsQL satisfaction subscales, and total score of satisfaction. Moreover, statistically significant associations were observed between the following variables: maternal training and total satisfaction, employment status and subscales of PedsQL, technical skills and general satisfaction, and social security status and emotional support. However, no statistically significant differences were observed between the sociodemographic characteristics of newborns, total score of satisfaction, and mean scores of PedsQL satisfaction subscales in mothers. Conclusion: According to the results of this study, level of maternal satisfaction with NICU services was higher than the international average. Therefore, it is recommended that NICU nurses offer sufficient emotional support for both mothers and neonates in this unit and allow mothers to stay with their infants during hospitalization. Furthermore, it is suggested that training programs be implemented on effective communication skills between nurses and patients.

  4. Utilization of Prevention of Mother-to-Child Transmission of HIV Services and Associated Factors among Antenatal Care Attending Mothers in Sebeta Town, Central Ethiopia

    Directory of Open Access Journals (Sweden)

    Hailu Merga

    2016-01-01

    Full Text Available Background. HIV transmission from mother to child continues to be the major source of HIV infection among children under the age of fifteen. Targeting pregnant women attending antenatal clinics provides a unique opportunity for implementing prevention of mother-to-child transmission (PMTCT programs against HIV infection of newborn babies. This study assessed utilization of PMTCT service of HIV and associated factors among ANC attending mothers. Methods. An institutional based cross-sectional study was conducted from February 20 to March 30, 2015, using exit interviews with 377 ANC attendees using consecutive sampling method. In-depth interviews with service provider were conducted to complement the quantitative data. Data were entered and analysed using EpiData and SPSS, respectively. Results. The prevalence of PMTCT service utilization was 86.9% in this study. Only 8.6% of respondents attended the facility for HCT. After controlling confounders using logistic regression, PMTCT service utilization was associated with age (25–34 of respondents (AOR (95% CI = 0.46 (0.22, 0.97, mother’s occupational status (being merchant AOR (95% CI = 0.31 (0.12, 0.83, government employee AOR (95% CI = 0.05 (0.01, 0.28, student AOR (95% CI = 0.1 (0.01, 0.44, and daily laborer AOR (95% CI = 0.13 (0.05, 0.33, husband’s educational status (lack of formal education (AOR (95% CI = 3.3 (1.1, 9.9, having discussion with husband (AOR (95% CI = 6.1 (2.6, 14.1, partner tested (AOR (95% CI = 8.2 (1.9, 34.46, and being not satisfied with the service (AOR (95% CI = 0.46 (0.2, 0.99. Conclusions. This study revealed that utilization of HIV counseling and testing during antenatal care was high among pregnant women in Sebeta town. It highlights that focusing on improvement of quality and coverage of health services has significant effects on PMTCT service utilization. Effective use or uptake of ARV drug among HIV-positive pregnant women should be further investigated so that

  5. Kangaroo mother care diminishes pain from heel lance in very preterm neonates: A crossover trial

    Directory of Open Access Journals (Sweden)

    McNaughton Kathryn

    2008-04-01

    Full Text Available Abstract Background Skin-to-skin contact, or kangaroo mother care (KMC has been shown to be efficacious in diminishing pain response to heel lance in full term and moderately preterm neonates. The purpose of this study was to determine if KMC would also be efficacious in very preterm neonates. Methods Preterm neonates (n = 61 between 28 0/7 and 31 6/7 weeks gestational age in three Level III NICU's in Canada comprised the sample. A single-blind randomized crossover design was employed. In the experimental condition, the infant was held in KMC for 15 minutes prior to and throughout heel lance procedure. In the control condition, the infant was in prone position swaddled in a blanket in the incubator. The primary outcome was the Premature Infant Pain Profile (PIPP, which is comprised of three facial actions, maximum heart rate, minimum oxygen saturation levels from baseline in 30-second blocks from heel lance. The secondary outcome was time to recover, defined as heart rate return to baseline. Continuous video, heart rate and oxygen saturation monitoring were recorded with event markers during the procedure and were subsequently analyzed. Repeated measures analysis-of-variance was employed to generate results. Results PIPP scores at 90 seconds post lance were significantly lower in the KMC condition (8.871 (95%CI 7.852–9.889 versus 10.677 (95%CI 9.563–11.792 p CI 103–142 versus 193 seconds (95%CI 158–227. Facial actions were highly significantly lower across all points in time reaching a two-fold difference by 120 seconds post-lance and heart rate was significantly lower across the first 90 seconds in the KMC condition. Conclusion Very preterm neonates appear to have endogenous mechanisms elicited through skin-to-skin maternal contact that decrease pain response, but not as powerfully as in older preterm neonates. The shorter recovery time in KMC is clinically important in helping maintain homeostasis. Trial Registration (Current

  6. The crisis as catalyst for reframing health care policies in the European Union

    NARCIS (Netherlands)

    Helderman, J.K.

    2014-01-01

    Seen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare st

  7. Traditional Baby Care Practices of Mothers of Children Aged 6-12 Months in The Provincial Centre of Trabzon, Turkey

    Directory of Open Access Journals (Sweden)

    Ilknur Kahriman

    2011-02-01

    Full Text Available Aim: To evaluate traditional baby care practices employed by mothers in the Turkish province of Trabzon. Materials and methods: This descriptive study was planned around babies born in the provincial center of Trabzon between 1 June and 31 December, 2005, and aged 6-12 months at the time of the research. Data were collected in July-September 2006. In order to determine sampling size the prevalence of mothers using traditional practices was calculated at 50%, with a deviation of 0.05, giving a sample size of 384 mothers, the final number being put at 400. The study was performed at six clinics selected on the basis of settlement location and socioeconomic level out of 11 health clinics in the city center of the province of Trabzon. Data in the study are presented as numbers, and percentage distributions as mean±standard deviation. Results: It was determined that 69.8% of mothers breastfed their babies immediately and that 91.3% gave them colostrum. It was also determined that 3.7% of mothers resorted to various practices in order to ensure a male or female baby, 44.5% in order to facilitate labor, 25% in order to avoid puerperal fever, 63.5% in order eliminate postnatal pain, 88% to prevent their babies smelling, 86.2% for the shedding of the umbilical cord, 54.2% to protect their babies against jaundice, 73.7% to protect their babies from the evil eye, 26.2% so their babies would be good-looking and 40.7% to safely complete the first 40 days after childbirth. The main practices having a harmful effect on health in the study were swaddling, salting the baby, waiting for the call to prayer before breastfeeding the baby after birth and not giving colostrum. Conclusions: Traditions were observed to have an impact and to be persisting in child care in Trabzon. This suggests it will be useful for health personnel working in the field of infant care to evaluate the traditional characteristics in the locations where they work and to correct negative

  8. Mother's early experience of taking care of a child later diagnosed with autism

    DEFF Research Database (Denmark)

    Lemcke, Sanne; Thorlund Parner, Erik; Bjerrum, Merete;

    Introduction and objectives: The aim is to study whether prospectively collected information from mothers regarding deviations in their child’s development and behaviour during the first two years of life can predict the risk of autism spectrum disorder (ASD) later in life. Methods: In the Danish...... National Birth Cohort (DNBC) mothers were interviewed about their child’s development and behaviour when the child was 6 and 18 months of age, respectively. Children diagnosed with ASD in Danish paediatric and child psychiatric departments are registered in the Danish National Patient Register. Thus...... with ASD. Deviations reported by mothers when the child was 6 months, showed a statistically significant different pattern for breastfeeding and crying in children later diagnosed with ASD compared to the whole cohort. At 18 months only deviations in sleeping showed statistically significant increased risk...

  9. Janani Suraksha Yojana : Its utilization and perception among mothers and health care providers in a rural area of North India

    Directory of Open Access Journals (Sweden)

    Vikas Kumar

    2015-04-01

    Full Text Available Background: Janani Suraksha Yojana (JSY is a maternal protection scheme that promotes institutional delivery by providing cash incentive to the mothers who deliver their babies in a health facility. With the purpose of improving maternal and neo-natal mortality and morbidity indicators, the investment and emphasis on JSY is continued. Utilization pattern and perception in the community regarding a particular health program is important to study for assessing the success or failure of the program. Objectives: To assess the utilization of JSY and its perception among mothers and health care providers. Materials and Methods: A descriptive, cross-sectional, community based study was Conducted at Agra district of Uttar Pradesh, among 246 married women of reproductive age group who had childbirth after JSY implementation for assessing their utilization pattern and perception regarding JSY services. Perception regarding the strengths and weaknesses of JSY among the health care providers was also studied. Results: Nearly half (53.25% of the mothers studied had an institutional delivery and were eligible for the JSY benefits. Postnatal home visits by Accredited Social Health Activists were done in 48% of home and 100% of institutional deliveries. Nearly half (48.09% of the beneficiaries were benefited by free transport facility under JSY. Although all of the health care providers perceived JSY as beneficial for improving maternal health, 44% of them had the notion that cash incentives under JSY can have a negative effect on family planning practices. Conclusion: The utilization rate of the JSY services was found to be low in certain aspects like institutional deliveries, transport facility etc., and there is scope for improvement.

  10. Childhood malaria in the Niger delta area of Nigeria:mothers/care givers 'perception,definition and treatment practices

    Institute of Scientific and Technical Information of China (English)

    Idogun ES; Airauhi LU

    2009-01-01

    Objective:The objective of the study was to evaluate mothers/care givers perception of malaria,their treat-ment practices and the effects on the outcome of malaria.Methods:Four hundred and sixty children were en-rolled and their mothers/care givers interviewed.The children were screened for malaria parasitaemia and there after,blood specimens were obtained for biochemical and haematological evaluation from those children who met the criteria and tested positive to P.falciparum parasites.Packed cell volume,electrolytes,urea, creatinine,plasma glucose,and serum bilirubin were analyzed.Results:A total of 460 children were studied, 233 (50.7%)males and 227 (49.3%)females.Mild malaria cases were 112 (24.3%)and severe malaria 348 (75.7%).Those who presented early 106 (23.0%)and those who presented late 354 (77.0%).Per-ception and definition of malaria as well as the treatment seeking behaviors vary significantly with the level of education of the mothers and care givers.Those without formal education 68 (51.9%)wrongly perceived that the etiology of malaria can only be diagnosed by native doctors compared to those with primary six education 61 (26.5%)and junior secondary education 10 (10.1%).Only 43 (9.3%)gave the correct dose of chloro-quine syrup to their sick children,while 32 (7.0%)gave at sub optimal doses.Conclusion:Wrong percep-tion of malaria especially the complicated malaria and wrong treatment practices are major contributory factors to the high mortality and morbidity of malaria in Nigeria.There is therefore a need for health education to cor-rect the wrong ideas about the cause and treatment practices of malaria as part of malaria control programme.

  11. My mother

    Institute of Scientific and Technical Information of China (English)

    张旭

    2007-01-01

    @@ My mother is a farmer. She is thirty-five years old. She is verytall. She has big eyes and long hair.She is very hard-working and kind.As my father works a place far away from us, she does all the housework every day. She loves me and loves my grandparents. My grandparents are both over seventy years old. She always looks after them very carefully. My grandmother is often ill, so my mother always buys some meat, fish and eggs for her. My mother gets on well with them. She makes our family become very harmonious.My grandmother often says my mother is better than her own daughter.

  12. Neonatal nurses' knowledge of and attitudes toward caring for cocaine-exposed infants and their mothers.

    Science.gov (United States)

    Ludwig, M A; Marecki, M; Wooldridge, P J; Sherman, L M

    1996-03-01

    The knowledge, attitudes, and backgrounds of 215 nurses employed in the nurseries of six hospitals were studied by means of a questionnaire survey. The nurses' attitudes toward the mothers of cocaine-addicted infants were found to be generally negative and/or judgmental and their knowledge to be low. More experience with nursing cocaine-addicted infants and greater acuity of the neonatal unit in which the nurse worked correlated with more positive attitudes toward the infants but not toward their mothers. Knowledge and attitude correlated positively with formal education, inservice education, and self-education, but the correlations were weak.

  13. Consequences of Teen Parents' Child-Care Arrangements for Mothers and Children

    Science.gov (United States)

    Mollborn, Stefanie; Blalock, Casey

    2012-01-01

    Using the nationally representative Early Childhood Longitudinal Study, Birth Cohort (2001-2006; N [image omitted]7,900), the authors examined child-care arrangements among teen parents from birth through prekindergarten. Four latent classes of child care arrangements at 9, 24, and 52 months emerged: (a) "parental care," (b) "center care," (c)…

  14. Availability of Reproductive Health Care Services at Schools and Subsequent Birth Outcomes among Adolescent Mothers

    Science.gov (United States)

    Madkour, Aubrey S.; Xie, Yiqiong; Harville, Emily W.

    2016-01-01

    Background: Adverse birth outcomes are more common among adolescent versus adult mothers, but little is known about school-based services that may improve birth outcomes in this group. Methods: Data from Waves I and IV of the National Longitudinal Study of Adolescent Health were analyzed. Girls and women who gave birth to singleton live infants…

  15. Consequences of Teen Parents’ Child Care Arrangements for Mothers and Children*

    OpenAIRE

    Mollborn, Stefanie; Blalock, Casey

    2012-01-01

    Using the nationally representative Early Childhood Longitudinal Study-Birth Cohort (2001 - 2006; N ≈ 7900), we examined child care arrangements among teen parents from birth through prekindergarten. Four latent classes of child care arrangements at 9, 24, and 52 months emerged: “parental care,” “center care,” “paid home-based care,” and “free kin-based care.” Disadvantaged teen-parent families were overrepresented in the “parental care” class, which was negatively associated with children’s ...

  16. CAN MOTHERS CARE FOR ACUTE DIARRHOEAL DISEASE OF THEIR UNDER FIVE CHILDREN EFFECTIVELY AT HOME? A CROSS SECTIONAL STUDY IN SLUM COMMUNITY IN BANKURA

    Directory of Open Access Journals (Sweden)

    Eashin

    2015-09-01

    Full Text Available BACKGROUND : Diarrhea is one of the major causes of morbidity and mortality in under - five children in developing world like India. WHO & Integrated Management of Neonatal and Childhood Illness ( IMNCI diarrheal management guidelines encourage mothers and caretakers to treat diarrhoea at home by giving ORS and oral rehydration therapy (ORT to reduce the duration , severity , hospitalization , overall medical costs and death . OBJECTIVES : i t o assess the Knowledge , Attitude and Practice (KAP of mothers on home care of acu te diarrhoeal diseases and ii To find out the factors affecting it , if any. MATERIALS AND METHODS : Community based cross - sectional study was conducted for three months duration among 76 mothers of slum - dwelling under five children (2 - 59 months in Bankura . Information about KAP on management of acute diarrhoeal diseases was obtained by interview of mother using schedule based on WHO & IMNCI diarrheal management guidelines. RESULTS: In this study , majority mothers (64.7% of children were of BPL category an d mean schooling years of mothers was 7.97±4.12. Majority of mothers’ knowledge was average (66.2% and favourable attitude was (76.5%. While 72.2% mothers performed average practice ; only 9.3% of mothers performed good practice. Education , occupation and socio - economic status (SES were the influencing factors of KAP on home care of diarrhea. Conclusions : A lot of gap was still present in knowledge , attitude and practice of home management of acute diarrheal diseases in an urban slum of Bankura. Health pro viders are needed to be skilled , motivated to percolate the information to mothers regarding home care of diarrhea.

  17. Knowledge, perception and utilization of postnatal care of mothers in Gondar Zuria District, Ethiopia: a cross-sectional study.

    Science.gov (United States)

    Tesfahun, Fikirte; Worku, Walelegn; Mazengiya, Fekadu; Kifle, Manay

    2014-12-01

    Mothers and their newborns are vulnerable to illnesses and deaths during the postnatal period. More than half a million women each year die of causes related to pregnancy and childbirth. The majority of deaths occur in less developed countries. Utilization of postnatal care (PNC) service in Ethiopia is low due to various factors. These problems problem significantly hold back the goal of decreasing maternal and child mortality. To assess mothers' knowledge, perception and utilization of PNC in the Gondar Zuria District, Ethiopia. Our study is a community-based, cross-sectional study supported by a qualitative study conducted among 15-49 years mothers who gave birth during the last year. A multistage sampling technique was used to selected participants; structured questionnaires and focus group discussions were used to collect data. Data were entered into EPI info version 3.5.1 and exported into SPSS version 16.0 for the quantitative study and thematic framework analysis was applied to the qualitative portion. The majority of the women (84.39 %) were aware and considered PNC necessary (74.27 %); however, only 66.83 % of women obtained PNC. The most frequent reasons for not obtaining PNC were lack of time (30.47 %), long distance to a provider (19.25 %), lack of guardians for children care (16.07 %), and lack of service (8.60 %). Based on the multivariate analysis, place of residence (AOR 2.68; 95 % CI 1.45-4.98), distance from a health institution (AOR 2.21; 95 % CI 1.39-3.51), antenatal care visit (AOR 2.60; 95 % CI 1.40-5.06), and having decision-making authority for utilization (AOR 1.86; 95 % CI 1.30-2.65) were factors found to be significantly associated with PNC utilization. Mothers in the study area had a high level of awareness and perception about the necessity of PNC. Urban women and those who displayed higher levels of autonomy were more likely to use postnatal health services.

  18. Selected African American First-Time Teenage Mothers' Perceptions of Nurse Caring Behaviors During The Postpartum Period

    Directory of Open Access Journals (Sweden)

    Danita Renae Potter

    2012-03-01

    Full Text Available The purpose of this study was to explore and describe African American teen mothers’ perceptions of nurse caring behaviors during the postpartum period in a rural southern state. African Americans have unique cultural needs; thus, it is critical for the science of nursing to explore and describe African American teenage mothers’ perceptions of nurse caring behaviors during the postpartum period. By exploring and describing African American first-time teenage mothers’ perceptions of nurse caring behaviors, the researcher will help nursing science gain insight into how to facilitate and enhance postpartum care for young families. An exploratory descriptive design was used and descriptive analyses were conducted on demographic characteristics and CBA subscales to answer the research question:  How do African American first-time teenage mothers describe nursing behaviors and identify the most important nursing behaviors that they received during the postpartum period?  Findings indicated that there was statistical significance for the independent variable, decision making for your health, and the Caring Behaviors Assessment (CBA subscales of humanism/faith-hope/sensitivity (p = 0.050, human needs assistance (p = 0.052, and the demographic characteristics. The analysis revealed attentive to needs was a common theme.

  19. 高龄产妇的心理护理观察%Psychological Care Observation of Older Mothers

    Institute of Scientific and Technical Information of China (English)

    黄设珍; 刘玉梅

    2014-01-01

    Objective Explore the effect of the psychological care of the older mothers. Methods A retrospective analysis of the method. Analysis of 12 cases of advanced maternal age in the hospital nursing data basis for care is divided into psychological care group and usual care group. Results The psychological care of anxiety and depression score was significantly lower than the usual care group(P <0.05), pain ratings of psychological care group was significantly superior to conventional care group(P <0.05)differences were statistically significant. Conclusion Advanced maternal age, psychological nursing Ming was to improve the adverse psychological and emotional, reduce pain, and worthy of clinical application.%目的:探讨高龄产妇的心理护理效果。方法采用回顾性分析的方法,分析我院120例高龄产妇的护理资料,依据护理方式不同分为心理护理组和常规护理组。结果心理护理组焦虑和抑郁情绪评分明显低于常规护理组(P<0.05),心理护理组疼痛分级明显优于常规护理组(P<0.05),差异均有统计学意义。结论高龄产妇实施心理护理可以明呈改善不良心理情绪,降低疼痛,值得临床推广应用。

  20. Depressive symptoms among immigrant and Canadian born mothers of preterm infants at neonatal intensive care discharge: a cross sectional study

    OpenAIRE

    Ballantyne Marilyn; Benzies Karen M; Trute Barry

    2013-01-01

    Abstract Background Mothers of preterm infants are considered at higher risk for depressive symptoms, higher than for mothers of healthy term infants. Predictors of depressive symptoms in mothers of preterm infants are not yet well established. Immigrant mothers of term infants have higher prevalence of depressive symptoms than Canadian born mothers but the relative prevalence for immigrant mothers of preterm infants is unknown. This study had two aims: (i) to investigate the prevalence of de...

  1. Mothers' Experiences with Pastoral Care in Cases of Child Sexual Abuse.

    Science.gov (United States)

    Gilgun, Jane F; Anderson, Gwendolyn

    2016-04-01

    This article reports on case study research with four mothers who asked for help from their pastors when they learned, or had reason to believe, that their husbands had sexually abused children in their families. In their own words, mothers gave accounts of how the pastors responded. Some were helpful and knowledgeable, some appeared bewildered, and others were hostile and blaming toward the women. This article will sensitize pastors and other pastoral counselors to issues that child sexual abuse raises. In addition, the research responds to Mahoney's (J Marriage Fam 72:805-827, 2010) observations about the scarcity of knowledge on whether religion helps or harms families during times of stress. PMID:26245977

  2. Knowledge and attitude of postnatal mothers towards neonatal care in a rural area of Maharashtra, India

    OpenAIRE

    Shilpa Chaudhari; Smritee Virmani

    2016-01-01

    Background: The neonatal period encompassing the first 28 days of extra uterine life is the most crucial time in baby's life. It is an important link in the chain of events from conception to childhood. The mother's or caregivers` past experiences and knowledge play an important role in safeguarding the new-born's health and enhancing adaptation to the new environment. Methods: A community based cross sectional study was carried out in the rural area of Pune district for 2 months period. T...

  3. Cultural dilemmas of choice: Deconstructing consumer choice in health communication between maternity-care providers and ethnic Chinese mothers in New Zealand.

    Science.gov (United States)

    Guo, Shujie Phoebe; Munshi, Debashish; Cockburn-Wootten, Cheryl; Simpson, Mary

    2014-01-01

    This article critically analyses the discourse of consumer choice embedded in health communication interactions between maternity-care providers and migrant ethnic Chinese mothers in New Zealand. Findings indicate that Chinese mothers, as the customers of the New Zealand maternity and health care services, are encouraged to "fit in" with the Western discourse of choice. However, the mothers' cultural predispositions for childbirth and communication have a significant impact on the ways in which they respond to and resist this discourse. Drawing on theoretical insights from postcolonialism and Third World feminism, this article contributes to the study of intercultural health communication by examining cultural dilemmas in the discourse of choice that is often taken for granted in Western health contexts. In doing so, it builds a platform for an inclusive maternity care and health environment in multicultural societies. PMID:24446879

  4. The Long-Term Care Workforce Crisis: Dementia-Care Training Influences on Job Satisfaction and Career Commitment

    Science.gov (United States)

    Coogle, Constance L.; Head, Colleen A.; Parham, Iris A.

    2006-01-01

    The present study compares changes in job satisfaction and career commitment among Alzheimer's care staff participating in a two-phase, state-level training collaborative to improve dementia care. Results reveal an increase in extrinsic job satisfaction and a decrease in career commitment. Findings could be related to the effects of both the…

  5. Changing poor mothers' care-seeking behaviors in response to childhood illness: findings from a cross-sectional study in Granada, Nicaragua

    Directory of Open Access Journals (Sweden)

    Jimba Masamine

    2010-06-01

    Full Text Available Abstract Background In 2008, approximately 8.8 million children under 5 years of age died worldwide. Most of these deaths occurred in developing countries, but little is known about poor mothers' care-seeking behaviors for their children. We examined poor mothers' care-seeking behaviors in response to childhood illness, and identified factors affecting their choices. We also assessed mothers' perception of the medical services and their confidence in the health care available for their children. Methods We carried out a community-based cross-sectional study with structured questionnaires. Participants were 756 mothers and their young children (0-23 months in Nandaime municipality, Granada province, Nicaragua. We took the children's anthropometric measurements and we assessed the mothers according to their income. We divided them into 3 global absolute poverty categories (income: 2 USD/day, and 4 quintile. Results When a child showed symptoms of illness, most mothers (>75% selected public health facilities as their first choice. More than half (>58% were satisfied with the medical services, but the poorest mothers expressed more dissatisfaction (p = 0.003, when we divided the participants into 4 quintiles groups according to their income. In the poorest group, the main reasons for dissatisfaction were cost (46.6%, and distance to the facilities (25.8%. Almost half (41.3% of mothers lacked confidence in the health care offered to their child, while most of the wealthiest mothers (75.7% did have confidence in it (p = 0.001. The poorest mothers showed greater interest in health education than the wealthiest (86.2% vs. 77.8% (p = 0.015. We found that poor mothers (≤2 USD/day changed their second choice for care in a positive direction. Factors affecting the change in second choice were the child having symptoms of respiratory disease (AOR, 2.51; 95% CI, 1.28-4.90, p = 0.007, visiting health post as the first choice (AOR, 2.11; 95% CI, 1.26-3.53, p

  6. ASSESSMENT OF KNOWLEDGE ABOUT IMMUNIZATION OF UNDER FIVE CHILDREN AMONG MOTHERS ATTENDING OUTPATIENT DEPARTMENT OF PEDIATRICS IN A TERTIARY CARE HOSPITAL IN KOLLAM, KERALA

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    Ahmad Nadeem

    2015-07-01

    Full Text Available BACKGROUND : Immunization is the most cost effective public health intervention to reduce childhood morbidity and mortality. Thousands of children can be saved from vaccine preventable diseases each year by immunization. The knowledge of mothers’ is an important factor for better immunization coverage. Less knowledge affects decision making regarding immunization. OBJECTIVES: To assess the knowledge about immunization of under five children among mothers a ttending outpatient department of paediatrics in a tertiary care hospital in Kollam, Kerala and to find out the association of the knowledge level of mothers with some selected variables. MATERIAL AND METHODS : A Cross sectional study was done among mothers of under five children attending the OPD of pediatrics in a tertiary care hospital in Kollam, Kerala from 1 st to 30 th May, 2014. The sample size was 210 and simple random sampling was used. Statistical analysis was done and chi - square test & percentages w ere calculated. RESULT: 93.8% of mothers knew that vaccines are beneficial for their child. 58% were aware about the side effects of few vaccines. 50% of mothers believed that as polio is eradicated from India, there is no need to give polio vaccine. 35% o f mothers acquired knowledge regarding immunization through health workers. All of them had knowledge about polio vaccine but only half of them knew about rotavirus vaccine. 60% mothers believed that multiple vaccines are beneficial although 26% hold their view that it has no benefit at all. 39.5% of mothers’ had adequate knowledge about immunization. It was positively associated with education, working class and high socio - economic status of mothers. CONCLUSION: There are several loopholes in the mother’s knowledge regarding immunization. Many of them had no knowledge about optional vaccines. There is a need to improve knowledge regarding immunization among general population. Adequate information about completin g the

  7. Privatisation & marketisation of post-birth care: the hidden costs for new mothers

    OpenAIRE

    Benoit Cecilia; Stengel Camille; Phillips Rachel; Zadoroznyj Maria; Berry Sarah

    2012-01-01

    Abstract Retrenchment of government services has occurred across a wide range of sectors and regions. Care services, in particular, have been clawed away in the wake of fiscal policies of cost containment and neoliberal policies centred on individual responsibility and market autonomy. Such policies have included the deinstitutionalisation of care from hospitals and clinics, and early discharge from hospital, both of which are predicated on the notion that care can be provided informally with...

  8. Addressing the American health-care cost crisis: Role of the oncology community

    OpenAIRE

    Ramsey, SD; Ganz, PA; Shankaran, V; Peppercorn, J; Emanuel, E.

    2013-01-01

    Health-care cost growth is unsustainable, and the current level of spending is harming our economy and our patients. This commentary describes the scope of the health-care spending problem and the particular factors in cancer care that contribute to the problem, reflecting in part presentations and discussions from an Institute of Medicine National Cancer Policy Forum Workshop held in October 2012. Presenters at the workshop identified a number of steps that the oncology community can take to...

  9. Suspended liminality: breastfeeding and becoming a mother in two NICUs

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    Khulood Kayed Shattnawi

    2015-08-01

    Full Text Available Objectives: This paper presents the results of an ethnographic study of breastfeeding and mothers’ experiences within two neonatal intensive care units (NICU. Methods: The data collection involved 135 hours of participant observation over a 6-month period and semi-structured interviews of 17 mothers. Results: Data analysis showed that the mothers faced many obstacles that prohibited them from practicing breastfeeding within the NICUs, which impacted on their experiences as mothers. Their experiences were revealed as a developing process as their feeling changed from fearful and terrifying toward becoming and feeling like a ‘real’ mother. Four distinct themes emerged; the first highlighted the crisis, which involved the mother's feelings of emotional instability, their strategies for coping such as not visiting the baby, and recognition of the NICU as a stressful environment. The second theme described issues relating to control and power. This involved the perception of having a lack of control and needing to seek permission, the use of language as a mechanism for control, and mothers being placed in a subordinate role. The third theme related to the separation, which included difficulties of acceptance, feeling like stranger and not being important, and the need for physical closeness. The final theme, becoming a mother, included issues such as the special moments, breastfeeding as a turning point, and practical and informational needs. Conclusions: A finding suggests that mothers, who deliver prematurely, may have their rite of passage into motherhood interrupted, resulting in them being placed in a position of suspended liminality.

  10. Providing psychological care using crisis helpline to adolescents with suicidal intent

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    O.V. Vihristyuk

    2014-08-01

    Full Text Available We consider the possibility of a crisis psychological aid to children with suicidal intentions by means of telephone counseling. We shows the profile of a typical adolescent, requesting assistance from the hotline on suicidal thoughts, intentions: it is an introverted girl aged 14 to 18 years, in a depressed mood with a predominance of anxiety, fears, related to traumatic situation, experiencing feelings of hopelessness, loneliness, thinking of the situation as hopeless, going through a break in romantic relationships. The most characteristic motifs of suicide is the desire to “get away from the pain” and/or to revenge the others, make them regret about her. We specified the main tasks of a helpline specialist solved in the course of counseling: prevention of suicidal behavior, information on the possible forms of psychological aid, direct work with a customer requesting aid on his formed suicidal intent.

  11. Scaling up kangaroo mother care in South Africa: 'on-site' versus 'off-site' educational facilitation

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    van Rooyen Elise

    2008-07-01

    Full Text Available Abstract Background Scaling up the implementation of new health care interventions can be challenging and demand intensive training or retraining of health workers. This paper reports on the results of testing the effectiveness of two different kinds of face-to-face facilitation used in conjunction with a well-designed educational package in the scaling up of kangaroo mother care. Methods Thirty-six hospitals in the Provinces of Gauteng and Mpumalanga in South Africa were targeted to implement kangaroo mother care and participated in the trial. The hospitals were paired with respect to their geographical location and annual number of births. One hospital in each pair was randomly allocated to receive either 'on-site' facilitation (Group A or 'off-site' facilitation (Group B. Hospitals in Group A received two on-site visits, whereas delegates from hospitals in Group B attended one off-site, 'hands-on' workshop at a training hospital. All hospitals were evaluated during a site visit six to eight months after attending an introductory workshop and were scored by means of an existing progress-monitoring tool with a scoring scale of 0–30. Successful implementation was regarded as demonstrating evidence of practice (score >10 during the site visit. Results There was no significant difference between the scores of Groups A and B (p = 0.633. Fifteen hospitals in Group A and 16 in Group B demonstrated evidence of practice. The median score for Group A was 16.52 (range 00.00–23.79 and that for Group B 14.76 (range 07.50–23.29. Conclusion A previous trial illustrated that the implementation of a new health care intervention could be scaled up by using a carefully designed educational package, combined with face-to-face facilitation by respected resource persons. This study demonstrated that the site of facilitation, either on site or at a centre of excellence, did not influence the ability of a hospital to implement KMC. The choice of outreach

  12. Impact of mothers’ employment on infant feeding and care: a qualitative study of the experiences of mothers employed through the Mahatma Gandhi National Rural Employment Guarantee Act

    OpenAIRE

    Nair, Manisha; Ariana, Proochista; Webster, Premila

    2014-01-01

    Objective To explore the experiences of mothers employed through the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) using focus group discussions (FGDs) to understand the impact of mothers’ employment on infant feeding and care. The effects of mothers’ employment on nutritional status of children could be variable. It could lead to increased household income, but could also compromise child care and feeding. Setting The study was undertaken in the Dungarpur district of Rajas...

  13. Crisis, What Crisis?

    Science.gov (United States)

    Jones, Ken

    2010-01-01

    Responding to the recent work of Andrew Gamble, the article discusses the extent to which the British situation can be described in terms of crisis. It suggests that an essential element of crisis is that of political and social contestation, and explores the terms on which contestation is taking shape in and around British education.

  14. Keeping Cool in a Crisis

    Science.gov (United States)

    Padgett, Raven

    2006-01-01

    Many schools are able to avoid disasters by creating a strong, deliberate crisis plan and knowing how to implement it effectively. Good crisis preparedness requires leadership from the top, a critical mass of trained staff members, careful planning, and excellent communication. This article discusses how to prepare for a crisis.

  15. Parental child-care practices of Slovenian preschoolers' mothers and fathers: The Family Environment Questionnaire

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    Maja Zupančič

    2004-09-01

    Full Text Available The paper reviews evidence on the construct validity and reliability of the newly developed Family Environment Questionnaire (FEQ, and presents data on the structure of socialisation practices the Slovenian parents use in daily interactions with their three-year-old children. The FEQ is a parent report measure designed to provide an assessment of individual differences in parental practices that are representative among the parents of preschool children in the given cultural community. Factor analysis of the 63 items reliably recovered a four-component solution in both, maternal and paternal self-reports indicating the following broad-band parenting practices: Authoritative Parenting, Ineffective Control, Power Assertion, and Stimulation. Variables loading high on more than one component and those that did not load on the same factor obtained from maternal and paternal data were excluded from further analyses. The 51 items that were retained and corresponded to the four factors demonstrate adequate internal consistency for both samples of respondents. In addition, parental stimulation was positively linked to authoritative parenting, while it was negatively related to ineffective control and power assertion. The mothers perceived themselves to be more authoritative and stimulative than did fathers, who described themselves as more power assertive and ineffective in control. The parent-pairs were also found to share, at least to some extent, similar parenting practices, whereas their self-perceived expression of these practices was not dependent on their child's gender.

  16. Caring, Employment, and Quality of Life: Comparison of Employed and Nonemployed Mothers of Adults with Intellectual Disability

    Science.gov (United States)

    Chou, Yueh-Ching; Pu, Cheng-Yun; Kroger, Teppo; Fu, Li-yeh

    2010-01-01

    The effects of caregiving on mothers of adults with intellectual disability was examined by determining whether there are differences in quality of life and related factors between mothers with different employment status. Study participants were 302 working-age mothers who had adult children with intellectual disability based on the 2008 census…

  17. Crisis and Crisis Scenarios

    DEFF Research Database (Denmark)

    Larsen, Øjvind

    2016-01-01

    This special issue of Nordicum-Mediterraneum contains select proceedings from the third meeting of the Nordic Summer University research circle called “Crisis and Crisis Scenarios: Normativity, Possibilities and Dilemmas”, held April 9th — 12th, 2015 at the Lysebu Conference Centre in Oslo, Norway....... The circle’s research program runs from 2014 to 2016 and is aimed at examining the concept of crisis as it is used today in academia and public discussion. In this collection of papers from the symposium we present some of the different ways in which the topic of the study group was addressed....

  18. ANXIETY AND ATTACHMENT TO THE MOTHER IN PRESCHOOLERS RECEIVING PSYCHIATRIC CARE: THE FATHER-CHILD ACTIVATION RELATIONSHIP AS A PROTECTIVE FACTOR.

    Science.gov (United States)

    Gaumon, Sébastien; Paquette, Daniel; Cyr, Chantal; Émond-Nakamura, Mutsuko; St-André, Martin

    2016-07-01

    This 49-family study is the first to explore the father-child relationship in a clinical population of preschoolers (at a tertiary care child psychiatry clinic) and to examine its relation to child anxiety and attachment to the mother. A moderation model of the father-child activation relationship on the relation between attachment to the mother and child anxiety was tested and discussed. Analyses confirmed the expected independence between mother-child attachment and father-child activation as well as the association between mother-child attachment and anxiety. The highest levels of anxiety were found in insecure children, and more specifically, in insecure-ambivalent children and insecure disorganized-controlling children of the caregiving subtype. Hypotheses regarding the relation between anxiety and activation were only partially confirmed. Finally, the activation relationship with the father was shown to have a moderating effect on the relation between attachment to the mother and child anxiety; activation by the father may be considered either a protective or a risk factor. Results for this clinical population of young children are discussed in the light of attachment theory and activation relationship theory. The study's findings have the potential to contribute to the development of preventative, diagnostic, and intervention programs that take both parental figures into account.

  19. Improving Pathways to Assessment and Care for Infants of Substance Abusing Mothers: Are We Getting It Right?

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    Joanna Alexander

    2015-03-01

    Full Text Available There is documented correlation between parental substance abuse, child maltreatment, and poor outcomes. In two health districts in Sydney, Australia (Site A and B, specialised clinics were established to provide comprehensive assessments for infants of substance abusing mothers (ISAM. We aimed to determine whether there was a difference in outcomes between infants who attended clinic versus those who did not; and to identify differences in the pathways to care between sites. We analysed child protection reports and available health markers of all ISAM referrals in 2011. We held stakeholder meetings with services involved with ISAM in both sites; to describe service components; strengths and weaknesses of pathways. Fifty-five per cent (11/20 attended clinic in Site A; 80% (25/31 in Site B. Three-quarters of ISAM had at least one referral to child welfare; child protection service involvement was more common in those who attended. Immunisation status was lower than the national Australian average; approximately half were seen by community nursing services. Gaps in services, lack of database, and differences in pathways between sites were identified. Attending clinics correlates with child protection service involvement and may afford health protection. Transparent communication, service integration, and shared learning can improve outcomes for this vulnerable group.

  20. The Study of Frequency of Intestinal Protozoa and Related Demographic Factors among Mothers Visiting Health Care Centers of Hamadan city, during 2013-2014

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    M. Asadi

    2015-10-01

    Full Text Available Introduction & Objective: Nowadays, parasitic infections are a major health problem throughout the world, particularly in developing countries. Considering the crucial role of women in fam-ily health care, this study aimed to determine the prevalence and associated demographic fac-tors of intestinal parasitic infections in mothers visiting urban and rural health care centers of Hamadan city. Materials & Methods: This cross sectional study was conducted on 253 (128 rural and 125 ur-ban mothers visiting urban and rural health care centers of Hamadan. After receiving in-formed consent and filling the questionnaire, stool samples were examined by formalin-ether concentration technique, trichrome and modified Ziehl-Neelsen staining methods. The results were analyzed using Chi-square and Fisher’s exact tests. Results: Of the 253 mothers studied, 52 (20.55% were infected with intestinal protozoa. The infection rate in urban and rural inhabitants was 14.4% and 26.56%, respectively (P=0.02. Blastocystis hominis was the most frequently detected parasite with prevalence of 14.62%, followed by Entamoeba coli with 5.92%. Moreover, Giardia lamblia was found only in 0.79% of mothers. There were significant relationships between parasitic infections and contact to animals, level of education, location, method of washing vegetables and occupation. Conclusion: The results of the present study showed a high prevalence of parasitic infections in mothers living in rural areas compared to urban inhabitants. Therefore, it is necessary to pro-mote the public health awareness of rural population to reduce the frequency of parasitic in-fections. (Sci J Hamadan Univ Med Sci 2015; 22 (3: 187-194

  1. Child-care and feeding practices of urban middle class working and non-working Indonesian mothers: a qualitative study of the socio-economic and cultural environment.

    Science.gov (United States)

    Roshita, Airin; Schubert, Elizabeth; Whittaker, Maxine

    2012-07-01

    The double-burden problem of malnutrition in many developing countries is occurring against a backdrop of complex changes in the socio-economic and cultural environment. One such change is the increasing rate of female employment, a change that has attracted researchers to explore the possible relationships between maternal employment and child nutritional status. The present study employs a qualitative approach to explore the socio-economic and cultural environments that may influence child-care practices in families of working and non-working mothers with children of different nutritional status and types of domestic caregiver. It was conducted in Depok, a satellite city of Jakarta, Indonesia, and was designed as a case study involving 26 middle class families. The children were categorized as underweight, normal weight and obese, and caregivers were grouped as family and domestic paid caregivers. Twenty-six mothers and 18 caregivers were interviewed. Data were analysed by the constant comparative approach. The study identified five emerging themes, consisting of reason for working and not working, support for mother and caregivers, decision maker on child food, maternal self-confidence and access to resources. It confirmed that mothers and caregivers need support and adequate resources to perform child-care practices regardless of the child nutritional and maternal working status. Further research is required into how Indonesian mothers across a range of socio-economic strata can have increased options for quality child-care arrangements and support with child feeding. Additionally, this paper discussed the importance of enhanced dissemination of health information addressing both child underweight and obesity problems. PMID:21342457

  2. Single Mothers "Do" Family

    Science.gov (United States)

    Nelson, Margaret K.

    2006-01-01

    This paper explores how single mothers both incorporate others into family life (e.g., when they ask others to care for their children) and simultaneously "do families" in a manner that holds out a vision of a "traditional" family structure. Drawing on research with White, rural single mothers, the author explores the manner in which these women…

  3. Antibiotic resistance: what are the opportunities for primary care in alleviating the crisis?

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    Malene Plejdrup Hansen

    2015-02-01

    Full Text Available •Preventing patients from developing an acute respiratory infection will obviate any need for antibiotic use downstream. Hygiene measures (such as physical barriers and hand hygiene, and possibly vaccination and exercise, may be effective for preventing some acute respiratory infections. •Patients overestimate the effectiveness of antibiotics: therefore public campaigns might contribute to minimise misconceptions.•Complementary and alternative medicines (e.g. zinc, caffeine, vitamin C, probiotics and Echinacea are often proposed for preventing and treating acute respiratory infections, but evidence for efficacy is scarce.•General practitioners’ attitudes towards antibiotic prescribing are a major factor in the prescribing for acute respiratory infections. Professional interventions with educational components are effective, although they have modest effects, and are expensive. •General practitioners’ perceptions – that mistakenly assume as a default that patients want antibiotics for their acute respiratory infections – are often wrong. Shared decision making might be a solution, as it enables clinician and patient to participate jointly in making a health decision, having discussed the options together with the evidence for their harms as well as benefits.•General practitioners’ diagnostic uncertainty – often leading to an antibiotic prescription ‘just in case’ – might be addressed by exploiting strategies such as safety-netting, e.g. establishing with the patient a priori clearly defined actions to take if the course of the illness deviates from the expected.However, there is scant research undertaken in this area and evaluation of this strategy and its effects on patient care is needed.•The best strategies for the future are likely to focus on the best combination of the most effective interventions rather than any single one.

  4. Barriers and incentives to orphan care in a time of AIDS and economic crisis: a cross-sectional survey of caregivers in rural Zimbabwe

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    Goodman Karen J

    2006-02-01

    Full Text Available Abstract Background Africa is in an orphan-care crisis. In Zimbabwe, where one-fourth of adults are HIV-positive and one-fifth of children are orphans, AIDS and economic decline are straining society's ability to care for orphans within their extended families. Lack of stable care is putting thousands of children at heightened risk of malnourishment, emotional underdevelopment, illiteracy, poverty, sexual exploitation, and HIV infection, endangering the future health of the society they are expected to sustain. Methods To explore barriers and possible incentives to orphan care, a quantitative cross-sectional survey in rural eastern Zimbabwe asked 371 adults caring for children, including 212 caring for double orphans, about their well-being, needs, resources, and perceptions and experiences of orphan care. Results Survey responses indicate that: 1 foster caregivers are disproportionately female, older, poor, and without a spouse; 2 98% of non-foster caregivers are willing to foster orphans, many from outside their kinship network; 3 poverty is the primary barrier to fostering; 4 financial, physical, and emotional stress levels are high among current and potential fosterers; 5 financial need may be greatest in single-orphan AIDS-impoverished households; and 6 struggling families lack external support. Conclusion Incentives for sustainable orphan care should focus on financial assistance, starting with free schooling, and development of community mechanisms to identify and support children in need, to evaluate and strengthen families' capacity to provide orphan care, and to initiate and support placement outside the family when necessary.

  5. The Social Context of Prevention of Mother to Child Transmission of HIV (PMTCT) in Uganda: Mothers’ and health care providers’ experiences and lessons for programme improvement

    OpenAIRE

    Rujumba, Joseph

    2012-01-01

    Introduction: The prevention of mother-to-child transmission of HIV (PMTCT) programme has been operational in Uganda since the year 2000, but its performance remains sub-optimal. The objective of this thesis is to increase understanding of the role of the social context in the delivery and utilization of PMTCT services, focusing on how pregnant women experience routine HIV counselling and testing as part of antenatal care, HIV status disclosure to partners and lessons leant by ...

  6. Mother-to-Child Transmission of HIV Infection and Its Determinants among Exposed Infants on Care and Follow-Up in Dire Dawa City, Eastern Ethiopia

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    Fisseha Wudineh

    2016-01-01

    Full Text Available Since the scale-up for prevention of mother-to-child transmission (PMTCT services, rates of HIV infection among exposed infants have significantly declined. However, current achievements fell short of achieving the target sets. We investigated mother-to-child transmission (MTCT of HIV infection and its determinants among HIV-exposed infants on care at Dilchora Referral Hospital in Dire Dawa City Administration. A retrospective institutional cohort study was conducted by reviewing follow-up records of HIV-exposed infants who were enrolled into care. Infants’ HIV serostatus was the outcome measure of the study. Bivariate and multivariate logistic regressions were employed to identify significant determinants. Of the 382 HIV-exposed infants enrolled into care, 60 (15.7% became HIV positive. Rural residence (AOR: 3.29; 95% CI: 1.40, 7.22, home delivery (AOR: 3.35; 95% CI: 1.58, 8.38, infant not receiving ARV prophylaxis at birth (AOR: 5.83; 95% CI: 2.84, 11.94, mixed feeding practices (AOR: 42.21; 95% CI: 8.31, 214.38, and mother-child pairs neither receiving ARV (AOR: 4.42; 95% CI: 2.01, 9.82 were significant independent determinants of MTCT of HIV infection. Our findings suggest additional efforts to intensify scale-up of PMTCT services in rural setting and improve institutional delivery and postnatal care for HIV positive mothers and proper follow-up for HIV-exposed infants.

  7. Mothers' AdvocateS In the Community (MOSAIC- non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary care

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    Gold Lisa

    2011-03-01

    Full Text Available Abstract Background Effective interventions to increase safety and wellbeing of mothers experiencing intimate partner violence (IPV are scarce. As much attention is focussed on professional intervention, this study aimed to determine the effectiveness of non-professional mentor support in reducing IPV and depression among pregnant and recent mothers experiencing, or at risk of IPV. Methods MOSAIC was a cluster randomised trial in 106 primary care (maternal and child health nurse and general practitioner clinics in Melbourne, Australia. 63/106 clinics referred 215 eligible culturally and linguistically diverse women between January 2006 and December 2007. 167 in the intervention (I arm, and 91 in the comparison (C arm. 174 (80.9% were recruited. 133 (76.4% women (90 I and 43 C completed follow-up at 12 months. Intervention: 12 months of weekly home visiting from trained and supervised local mothers, (English & Vietnamese speaking offering non-professional befriending, advocacy, parenting support and referrals. Main outcome measures: Primary outcomes; IPV (Composite Abuse Scale CAS and depression (Edinburgh Postnatal Depression Scale EPDS; secondary measures included wellbeing (SF-36, parenting stress (PSI-SF and social support (MOS-SF at baseline and follow-up. Analysis: Intention-to-treat using multivariable logistic regression and propensity scoring. Results There was evidence of a true difference in mean abuse scores at follow-up in the intervention compared with the comparison arm (15.9 vs 21.8, AdjDiff -8.67, CI -16.2 to -1.15. There was weak evidence for other outcomes, but a trend was evident favouring the intervention: proportions of women with CAS scores ≥7, 51/88 (58.4% vs 27/42 (64.3% AdjOR 0.47, CI 0.21 to 1.05; depression (EPDS score ≥13 (19/85, 22% (I vs 14/43, 33% (C; AdjOR 0.42, CI 0.17 to 1.06; physical wellbeing mean scores (PCS-SF36: AdjDiff 2.79; CI -0.40 to 5.99; mental wellbeing mean scores (MCS-SF36: AdjDiff 2.26; CI -1

  8. Determinants of Anxiety among Mothers of Infants in the Newborn Intensive Care Unit: Role of Family Physicians on Coping with the Stressors

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    Uludağ A et al.

    2012-10-01

    Full Text Available Aim: In this study, it was aimed to establish the stressing factors and expectations of mothers from newborn intensive care unit (NICU staff and the complimentary role of family physicians on maternal coping with the stress. Methods: Study was conducted in 78 mothers of NICU patients in Eskisehir Osmangazi University. Socio-demographic characteristics and prenatal, follow up of pregnancy and postnatal period were recorded. General health questionnaire and The State-Trait Anxiety Inventory were assessed. Results: The most common reason for infants to be admitted to the NICU was prematurity. Mothers’ psychological stress levels depend on so many variables. There were 41 mothers who visit and hold their babies effects depresssion and anxiety and as the hospital stay prolonged and gestational age decreased, mothers’ anxiety and depression increased. High anxiety related factors among the mothers were appearance of their small, fragile baby. When mothers’ educational status was higher, depression and anxiety levels decreased. Maternal age did not affect anxiety levels and depression. Presence of abortions or stillbirth in previous pregnancies increased mothers state anxiety levels. Conclusion: Birth of a premature infant or an infant with congenital anomaly is to be seen as an ongoing traumatic life event, where psychotherapeutic support is to be recommended. In Turkey family practice application has been established. Family physicians after the birth, of a high risk infant; mothers and babies follow-up plan could be coordinated and because of increased frequency of mothers’ anxiety and acute mental disorders, family physician should follow the families at close range this period of time.

  9. Perinatal health and mother-child health care in the municipality of São Luís, Maranhão State, Brazil

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    Silva Antônio Augusto M. da

    2001-01-01

    Full Text Available The purpose of this article was to evaluate socioeconomic and demographic indicators, reproductive health, use of prenatal, childbirth, and neonatal services, and anthropometric data for mothers and infants. The authors performed a cross-sectional analysis of a systematic sample of 2,831 hospital births in São Luís, Maranhão State, from March 1997 to February 1998 at ten public and private maternity hospitals. The sample was stratified proportionally according to the number of births in each maternity hospital. Mothers answered a standard questionnaire. Of the total, 97.9% were live births and 98% were singletons. Prenatal coverage was 89.5%, and prevalence of cesarean sections was 33.8%. A physician provided prenatal care in 75.7% of cases and performed 73.8% of the deliveries. The Unified Health System covered the costs of 76.4% of the prenatal visits and 89.7% of the deliveries. A pediatrician was present in the delivery room in 50.2% of cases. The low birth weight rate was 9.6% and the preterm birth rate 13.9%. Reasons for concern included a high percentage of adolescent mothers, single mothers (or without partners, the high cesarean rate, and the high percentage of births attended by unqualified personnel.

  10. The effects of the financial crisis and austerity measures on the Spanish health care system: a qualitative analysis of health professionals' perceptions in the region of Valencia.

    Science.gov (United States)

    Cervero-Liceras, Francisco; McKee, Martin; Legido-Quigley, Helena

    2015-01-01

    The recent financial crisis has seen severe austerity measures imposed on the Spanish health care system. However, the impacts are not yet well documented. We describe the findings from a qualitative study that explored health care professionals' perception of the effects of austerity measures in the Spanish Autonomous Community of Valencia. A total of 21 semi-structured interviews were conducted with health professionals, recorded and fully transcribed. We coded all interviews using an inductive approach, drawing on techniques used in the constant comparative method. Health professionals reported increases in mental health conditions and malnutrition linked to a loss of income from employment and cuts to social support services. Health care professionals perceived that the quality of health care had become worse and health outcomes had deteriorated as a result of austerity measures. Interviewees also suggested that increased copayments meant that a growing number of patients could not afford necessary medication. While a few supported reforms and policies, such as the increase in copayments for pharmaceuticals, most opposed the privatization of health care facilities, and the newly introduced Royal Decree-law 16/2012, particularly the exclusion of non-residents from the health care system. The prevailing perception is that austerity measures are having negative effects on the quality of the health care system and population health. In light of this evidence there is an urgent need to evaluate the austerity measures recently introduced and to consider alternatives such as the derogation of the Royal Decree-law 16/2012.

  11. Access to Adequate Outpatient Depression Care for Mothers in the US: A Nationally Representative Population-Based Study

    OpenAIRE

    Witt, Whitney P.; Keller, Abiola; Gottlieb, Carissa; Litzelman, Kristin; Hampton, John; Maguire, Jonathan; Hagen, Erika W.

    2009-01-01

    Maternal depression is often untreated, resulting in serious consequences for mothers and their children. Factors associated with receipt of adequate treatment for depression were examined in a population-based sample of 2,130 mothers in the USA with depression using data from the 1996-2005 Medical Expenditure Panel Survey. Chi-squared analyses were used to evaluate differences in sociodemographic and health characteristics by maternal depression treatment status (none, some, adequate). Multi...

  12. 危机管理在急诊护理管理中的应用研究%Application of Crisis Management in Emergency Care Management

    Institute of Scientific and Technical Information of China (English)

    涂玲飞

    2015-01-01

    目的探讨分析危机管理在急诊护理管理中的应用。方法选取2013年1月-2014年6月急诊科就诊的180例患者,分为对照组90例,实施常规护理,观察组90例,在常规护理基础上予以危机管理;评价两组患者治疗效果、不良事件等,统计护理纠纷发生率,并对护理质量、患者满意度进行百分制评分。结果观察组治疗效果、护理质量、患者满意度评分均明显高于对照组(P<0.05),观察组不良事件、护理纠纷发生率均明显低于对照组(P<0.05);差异显著。结论在急诊护理工作中采用危机管理,能够有效防范危机,降低风险发生率,具有较高的临床应用价值。%Objective To discuss and analyze the application of crisis management in emergency care management.Methods Chose 180 emergency department patients from January 2013 to June 2014 and divided them into control group and treatment group with 90 cases in each group. The control group was treated with routine care while the treatment group was treated with crisis management on the basis of routine care. Evaluated the treatment effect and adverse events of two groups, counted their incidence of nursing disputes and graded nursing quality and patient satisfaction based on hundred-mark system.Results Treatment effect, nursing quality and patient satisfaction scores for treatment group were significantly higher than control group(P <0.05). Adverse events nursing disputes for treatment group were significantly lower than control group with statistical difference (P <0.05). Conclusion Crisis management in emergency care could effectively prevent the crisis, reduce the risk of incidence and have a high clinical value.

  13. Testing a family intervention hypothesis: the contribution of mother-infant skin-to-skin contact (kangaroo care) to family interaction, proximity, and touch.

    Science.gov (United States)

    Feldman, Ruth; Weller, Aron; Sirota, Lea; Eidelman, Arthur I

    2003-03-01

    The provision of maternal-infant body contact during a period of maternal separation was examined for its effects on parent-infant and triadic interactions. Participants were 146 three-month-old preterm infants and their parents, half of whom received skin-to-skin contact, or kangaroo care (KC), in the neonatal nursery. Global relational style and micro-patterns of proximity and touch were coded. Following KC, mothers and fathers were more sensitive and less intrusive, infants showed less negative affect, and family style was more cohesive. Among KC families, maternal and paternal affectionate touch of infant and spouse was more frequent, spouses remained in closer proximity, and infant proximity position was conducive to mutual gaze and touch during triadic play. The role of touch as a constituent of the co-regulatory parent-infant and triadic systems and the effects of maternal contact on mothering, co-parenting, and family processes are discussed. PMID:12666466

  14. [The non perception of obesity can be an obstacle to the role of mothers in taking care of their children].

    Science.gov (United States)

    Camargo, Ana Paula Paes de Mello de; Barros Filho, Antonio de Azevedo; Antonio, Maria Ângela Reis de Góes Monteiro; Giglio, Joel Sales

    2013-02-01

    The goal of this study is to review articles in the scientific literature investigating the role of mothers, fathers and relatives in the treatment of obesity of their children. A search for original articles was conducted in the BIREME (BVS), PUBMED (MEDLINE) and Scielo platforms from 2004 to 2010, using the key words "the role of parents" and "childhood obesity," "the role of parents" and "child obesity treatment," "the mother's role" and "childhood obesity," "the mothers role" and "child obesity treatment." Twenty papers were selected and divided into two thematic categories. It was revealed that there are implications of the role of family, namely the father or mother, on the obesity of children, and more specifically related to the role of mothers. The conclusion drawn is that the role of parents and relatives is fundamental in promoting healthy behavior and lifestyles. Distorted maternal perception leads to excess weight being perceived as normal and this may prejudice treatment of child obesity. Acknowledging that the children are overweight most probably promotes greater acceptance of the need for treatment, in addition to being the necessary impetus for seeking professional assistance.

  15. Will the "Good" [Working] Mother Please Stand Up? Professional and Maternal Concerns about Education, Care and Love

    Science.gov (United States)

    Page, Jools

    2013-01-01

    The purposes of this article are to understand the factors that women are likely to take into consideration when making employment decisions and childcare choices while their babies are young, and to identify their choices, beliefs and dilemmas: the focus is on the experiences of working mothers in England. These choices are problematised in the…

  16. "Needs Expressed" and "Offers of Care": An Observational Study of Mothers with Somatisation Disorder and Their Children

    Science.gov (United States)

    Bialas, Ivona; Craig, Tom K. J.

    2007-01-01

    Background: The abnormal illness behaviours characterising somatisation disorder may be learnt responses acquired through exposure to parental illness and health anxiety in childhood. In this observational study we explore this hypothesis by examining patterns of interaction in mothers and their school age children. Method: A sample of 136 mother…

  17. A crisis in chronic pain care: an ethical analysis. Part three: Toward an integrative, multi-disciplinary pain medicine built around the needs of the patient.

    Science.gov (United States)

    Giordano, James; Schatman, Michael E

    2008-01-01

    A number of variables have contributed to the current crisis in chronic pain care and are affected by, and affect, the philosophies and politics that influence the socio-economic climate of the American healthcare system. Thus, we posit that managing the crisis in chronic pain care in the United States is contingent upon the development of a multi-focal healthcare paradigm that more thoroughly enables and fortifies research, its translation (in education and practice), and the implementation of, and support for, both the curative and healing approaches in medicine in general, and pain care specifically. These steps necessitate re-examination, if not revision of the health care system and its economics. The ethical imperative to consider and prudently employ cutting-edge diagnostic and therapeutic technologies in pain medicine is obligatory. However, "supply side prudence" is of little value if "demand side accessibility" is lacking. Revisions to health insurance plans advocated by the in-coming administration seek to create uniformity in basic health care services based upon re-assessment of the clinical effectiveness (versus merely cost) of treatments, including those that are "high tech." These plans attempt to allow every patient a more complete ability to deliberatively work with physicians to access those services and resources that maximize health functioning and goals. But even given these revisions, authentic pain care must take into account the interactive contexts of the painient individual. The biopsychosocial model of chronic pain management may have significant practical and ethical worth in this regard. A system of pain treatment operating from a biopsychosocial perspective necessitates integrative multi-disciplinarity. We propose a tiered, multi-disciplinary paradigm based upon the differing needs of each specific patient. But establishing such a system does not guarantee access, and distribution of these services and resources requires economic

  18. A crisis in chronic pain care: an ethical analysis. Part three: Toward an integrative, multi-disciplinary pain medicine built around the needs of the patient.

    Science.gov (United States)

    Giordano, James; Schatman, Michael E

    2008-01-01

    A number of variables have contributed to the current crisis in chronic pain care and are affected by, and affect, the philosophies and politics that influence the socio-economic climate of the American healthcare system. Thus, we posit that managing the crisis in chronic pain care in the United States is contingent upon the development of a multi-focal healthcare paradigm that more thoroughly enables and fortifies research, its translation (in education and practice), and the implementation of, and support for, both the curative and healing approaches in medicine in general, and pain care specifically. These steps necessitate re-examination, if not revision of the health care system and its economics. The ethical imperative to consider and prudently employ cutting-edge diagnostic and therapeutic technologies in pain medicine is obligatory. However, "supply side prudence" is of little value if "demand side accessibility" is lacking. Revisions to health insurance plans advocated by the in-coming administration seek to create uniformity in basic health care services based upon re-assessment of the clinical effectiveness (versus merely cost) of treatments, including those that are "high tech." These plans attempt to allow every patient a more complete ability to deliberatively work with physicians to access those services and resources that maximize health functioning and goals. But even given these revisions, authentic pain care must take into account the interactive contexts of the painient individual. The biopsychosocial model of chronic pain management may have significant practical and ethical worth in this regard. A system of pain treatment operating from a biopsychosocial perspective necessitates integrative multi-disciplinarity. We propose a tiered, multi-disciplinary paradigm based upon the differing needs of each specific patient. But establishing such a system does not guarantee access, and distribution of these services and resources requires economic

  19. Behavior problems of children in foster care: Associations with foster mothers' representations, commitment, and the quality of mother-child interaction.

    Science.gov (United States)

    Dubois-Comtois, Karine; Bernier, Annie; Tarabulsy, George M; Cyr, Chantal; St-Laurent, Diane; Lanctôt, Anne-Sophie; St-Onge, Janie; Moss, Ellen; Béliveau, Marie-Julie

    2015-10-01

    This study investigated different environmental and contextual factors associated with maltreated children's adjustment in foster care. Participants included 83 children (52 boys), ages 1-7 years, and their foster caregivers. Quality of interaction with the foster caregiver was assessed from direct observation of a free-play situation; foster caregiver attachment state of mind and commitment toward the child were assessed using two interviews; disruptive behavior symptoms were reported by foster caregivers. Results showed that quality of interaction between foster caregivers and children were associated with behavior problems, such that higher-quality interactions were related to fewer externalizing and internalizing problems. Foster caregivers' state of mind and commitment were interrelated but not directly associated with behavior problems of foster children. Type of placement moderated the association between foster caregiver commitment and foster child behavior problems. Whereas greater foster caregiver commitment was associated with higher levels of adjustment for children in foster families (kin and non-kin), this was not the case in foster-to-adopt families. Finally, the associations between foster child behavior problems and history of maltreatment and placement related-risk conditions fell below significance after considering child age and quality of interaction with the foster caregiver. Findings underscore the crucial contribution of the foster caregiver-child relationship to fostering child adjustment and, thereby, have important implications for clinical services offered to this population. PMID:26187685

  20. Effect of acupressure on milk volume of breastfeeding mothers referring to selected health care centers in Tehran

    OpenAIRE

    Esfahani, Mitra Savabi; Berenji-Sooghe, Shohreh; Valiani, Mahboubeh; Ehsanpour, Soheila

    2015-01-01

    Background: Breast milk is the main food source for infants’ growth and development. Insufficient milk is one of the obstacles to the adequate use of this substance. One of the treatments to help this issue is acupressure. Therefore, the present study was designed to determine the effect of acupressure on maternal milk volume. Materials and Methods: This study is a randomized clinical trial in which 60 breastfeeding mothers complaining of hypogalactia and meeting the inclusion criteria were s...

  1. Knowledge and perception of Prevention of Mother to Child services amongst pregnant women accessing antenatal clinic in a Primary Health Care centre in Nigeria

    Directory of Open Access Journals (Sweden)

    Eme T. Owoaje

    2012-10-01

    Full Text Available Background: Few studies have assessed pregnant women’s perceptions regarding prevention of mother to child of HIV and the available services at the primary health care level in Nigeria.Objective: Assessment of knowledge and perception of antenatal clinic (ANC attendees regarding Prevention of Mother to Child Transmission (PMTCT of HIV at primary health care facilities in south-west Nigeria.Method: A cross-sectional survey was conducted amongst 400 antenatal attendees in a Primary Health Care centre in Ibadan, Nigeria.Results: Known methods of PMTCT were: use of anti-retroviral treatment (ART during pregnancy (75.0%, ART at birth (65.8% and not breastfeeding (61.8%. Previous HIV Counselling and Testing (HCT was reported by 71%, significantly higher proportions of thosewho were married, in the third trimester of pregnancy or engaged in professional and/or skilled occupations had been tested. Regarding the HCT services provided, 92.2% understood the HIV-related health education provided, 89.7.2% reported that the timing was appropriate, 92.6% assessed the nurses’ approach as acceptable but 34.0% felt the test was forced upon them. Majority (79.6% were aware of non-breastfeeding options of infant feeding, but only 3.5% were aware of exclusive breastfeeding for a stipulated period as an infant feeding option. Nevertheless, the majority of the women found the non-breast feeding option culturally unacceptable.Conclusion: Women in this survey were knowledgeable about the methods of PMTCT, but had negative perceptions regarding certain aspects of the HCT services and the recommended non-breastfeeding infant feeding option. Health workers should provide client friendly services and infant feeding counselling that is based on current WHO recommendations and culturally acceptable.

  2. Comparative Evaluation of Cash Benefit Scheme of Janani Suraksha Yojana for Beneficiary Mothers from Different Health Care Settings of Rewa District, Madhya Pradesh, India.

    Directory of Open Access Journals (Sweden)

    Trivedi R

    2014-05-01

    Full Text Available Introduction: For better outcomes in mother and child health, Government of India launched the National Rural Health Mission (NRHM in 2005 with a major objective of providing accessible, affordable and quality health care to the rural population; especially the vulnerable. Reduction in MMR to 100/100,000 is one of its goals and the Janani Suraksha Yojana (JSY is the key strategy of NRHM to achieve this reduction. The JSY, as a safe motherhood intervention and modified alternative of the National Maternity Benefit Scheme (NMBS, has been implemented in all states and Union territories with special focus on low performing states. The main objective and vision of JSY is to reduce maternal, neo-natal mortality and promote institutional delivery among the poor pregnant women of rural and urban areas. This scheme is 100% centrally sponsored and has an integrated delivery and post delivery care with the help of a key person i.e. ASHA (Accredited Social Health Activist, followed by cash monetary help to the women. Objectives: 1To evaluate cash benefit service provided under JSY at different health care settings. 2 To know the perception and elicit suggestions of beneficiaries on quality of cash benefit scheme of JSY. Methodology: This is a health care institute based observational cross sectional study including randomly selected 200 JSY beneficiary mothers from the different health care settings i.e., Primary Health Centres, Community Health Centres, District Hospital and Medical College Hospital of Rewa District of Madhya Pradesh state. Data was collected with the help of set pro forma and then analysed with Epi Info 2000. Chi square test was applied appropriately. Results: 60% and 80% beneficiaries from PHC and CHC received cash within 1 week after discharge whereas 100% beneficiaries of District Hospital and Medical College Hospital received cash at the time of discharge; the overall distribution of time of cash disbursement among beneficiaries of

  3. A cross-sectional study of early identification of postpartum depression: Implications for primary care providers from The Ontario Mother & Infant Survey

    Directory of Open Access Journals (Sweden)

    Sword Wendy

    2002-04-01

    Full Text Available Abstract Background This survey's objective was to provide planning information by examining utilization patterns, health outcomes and costs associated with existing practices in the management of postpartum women and their infants. In particular, this paper looks at a subgroup of women who score ≥ 12 on the Edinburgh Postnatal Depression Survey (EPDS. Methods The design is cross-sectional with follow-up at four weeks after postpartum hospital discharge. Five Ontario hospitals, chosen for their varied size, practice characteristics, and geographic location, provided the setting for the study. The subjects were 875 women who had uncomplicated vaginal deliveries of live singleton infants. The main outcome measures were the EPDS, the Duke UNC Functional Social Support Questionnaire and the Health and Social Services Utilization Questionnaire. Results EPDS scores of ≥ 12 were found in 4.3 to 15.2% of otherwise healthy women. None of these women were being treated for postpartum depression. Best predictors of an EPDS score of ≥ 12 were lack: of confident support, lack of affective support, household income of Conclusions Primary care physicians, midwives, and public health nurses need to screen for depression at every opportunity early in the postpartum period. A mother's expression of undue concern about her own or her baby's health may be predictive of postpartum depression. Flexible, mother-focused support from community providers may decrease the prevalence of postpartum depression.

  4. Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia: Community Based Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Abinet Arega Sadore

    2015-01-01

    Full Text Available Background. In Ethiopia, higher proportions of pregnant women are anemic. Despite the efforts to reduce iron deficiency anemia during pregnancy, only few women took an iron supplement as recommended. Thus, this study aimed to assess compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha district, South Ethiopia. Method. Community based cross-sectional study supported with in-depth interview was conducted from March 1 to March 30, 2015. The sample size was determined using single population proportion to 303. Simple random sampling technique was used to select the study participants. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with compliance to iron-folate supplement. Results. The compliance rate was found to be 39.2%. Mothers knowledge of anemia (AOR = 4.451, 95% CI = (2.027,9.777, knowledge of iron-folate supplement (AOR = 3.509, 95% CI = (1.442,8.537, and counseling on iron-folate supplement (AOR = 4.093, 95% CI = (2.002,8.368 were significantly associated with compliance to iron-folate supplement. Conclusions. Compliance rate of iron-folate supplementation during pregnancy remains very low. This study showed that providing women with clear instructions about iron-folate tablet intake and educating them on the health benefits of the iron-folate tablets can increase compliance with iron-folate supplementation.

  5. Comparative Effectiveness Research as Choice Architecture: The Behavioral Law and Economics Solution to the Health Care Cost Crisis

    OpenAIRE

    Korobkin, Russell

    2014-01-01

    The primary market-based approach to reining in health care costs is generally referred to in policy discussions as “consumer directed health care” (“CDHC”). The simple idea underlying CDHC is that patients will demand less care if they are burdened with a greater responsibility for paying the actual cost of that care than is common in our current system, in which costs are largely borne by public or private health insurance with little patient cost sharing. CDHC implicitly relies on the “rat...

  6. Transitional Phase or a New Balance? Working and Caring by Mothers With Young Children in the Netherlands

    OpenAIRE

    Wel, Frits van; Knijn, Trudie

    2006-01-01

    In recent years in the Netherlands, mothers’ labor participation has increased sharply. This article examines which factors influence mothers’ employment rates and the division of household and caring responsibilities between parents. From research among 1,285 women with young children, it appears that cultural factors rather than economic motives or institutional obstacles offer the most important explanation for whether they work or not. A culture of care dominates more amongwomen with lowe...

  7. Comparative effectiveness research as choice architecture: the behavioral law and economics solution to the health care cost crisis.

    Science.gov (United States)

    Korobkin, Russell

    2014-02-01

    With the Patient Protection and Affordable Care Act ("ACA") set to dramatically increase access to medical care, the problem of rising costs will move center stage in health law and policy discussions. "Consumer directed health care" proposals, which provide patients with financial incentives to equate marginal costs and benefits of care at the point of treatment, demand more decisionmaking ability from consumers than is plausible due to bounded rationality. Proposals that seek to change the incentives of health care providers threaten to create conflicts of interest between doctors and patients. New approaches are desperately needed. This Article proposes a government-facilitated but market-based approach to improving efficiency in the private market for medical care that I call "relative value health insurance." This approach focuses on the "choice architecture" necessary to enable even boundedly rational patients to contract for an efficient level of health care services through their health insurance purchase decisions. It uses comparative effectiveness research, which the ACA funds at a significant level for the first time, to rate medical treatments on a scale of one to ten based on their relative value, taking into account expected costs and benefits. These relative value ratings would enable consumers to contract with insurers for different levels of medical care at different prices, reflecting different cost-quality trade-offs. The Article describes both the benefits of relative value health insurance and the impediments to its implementation. It concludes with a brief discussion of how relative value ratings could also help to rationalize expenditures on public health insurance programs. PMID:24446572

  8. Costo de la atención materno infantil en el Estado de Morelos, México Cost of mother-child care in Morelos State

    Directory of Open Access Journals (Sweden)

    Lucero Cahuana-Hurtado

    2004-08-01

    Full Text Available OBJETIVO: Comparar el costo actual de servicios de salud materno infantiles (modelo actual con el costo hipotético de su provisión bajo estándares definidos por el Paquete Madre Bebé, de la Organización Mundial de la Salud. MATERIAL Y MÉTODOS: Se realizó un estudio piloto de caso, de corte transversal, en septiembre de 2001, en establecimientos de salud de la Jurisdicción Sanitaria III de los Servicios de Salud del Estado de Morelos, México. Se eligieron para el estudio dos centros de salud rurales, un centro de salud urbano y un hospital general de la Secretaría de Salud. Se calculó el costo total y por intervención del modelo actual y del modelo Paquete Madre Bebé, usando el Modelo de estimación de costos de este Paquete. RESULTADOS: Se encontró que el costo total del Paquete Madre Bebé es dos veces mayor que el costo del modelo actual. De las 18 intervenciones evaluadas, la atención prenatal y el parto normal consumen la mayor proporción de los costos totales. Los costos de personal representan más de la mitad de los costos totales. CONCLUSIONES: El Modelo de estimación de costos es una herramienta práctica para la estimación y comparación de costos, y es útil para guiar la distribución de recursos financieros destinados a la atención materno infantil. Sin embargo, su aplicación es de limitada utilidad si su adaptación no responde a las características de cada sistema de atención.OBJECTIVE: To compare the cost of maternal and child health care (current model to that of the WHO Mother-Baby Package if it were implemented. MATERIAL AND METHODS: A pilot cross-sectional case study was conducted in September 2001 in Sanitary District No. III, Morelos State, Mexico. Two rural health centers, an urban health center, and a general hospital, all managed by the Ministry of Health, were selected for the study. The Mother-Baby Package Costing Spreadsheet was used to estimate the total cost and cost per intervention for the

  9. Working Mothers and Their Children

    Science.gov (United States)

    Mead, Margaret

    1970-01-01

    Discusses possible ways of providing continuity of care for young children of working mothers, including industry - sponsored day nurseries, cooperative nursery schools, communal clusters where working and nonworking women share household tasks and child care, and expanded neighborhood day care. (MG)

  10. Healthy Mothers Healthy Babies: awareness and perceptions of existing breastfeeding and postpartum depression support among parents and perinatal health care providers in Hawai'i.

    Science.gov (United States)

    Kimura, Lisa J; McGee, Amelia; Baird, Shelagh; Viloria, Joanne; Nagatsuka, Melissa

    2015-03-01

    Healthy Mothers, Healthy Babies Coalition of Hawai'i (HMHB) is a local nonprofit organization dedicated to eliminating health disparities and improving Hawai'i's maternal, child, and family health though collaborative efforts in public education, advocacy, and partner development. A review of HMHB services revealed overwhelming requests for both breastfeeding and postpartum depression (PPD) support. The purpose of this article is to present the findings of two surveys that highlight the awareness of existing breastfeeding and PPD resources based on both parents and health care providers; perceptions of where and how care is accessed; and whether mothers throughout Hawai'i have equitable access to support. Results helped assess gaps in resources and determine barriers to care, as well as provide suggestions for new services or resources. Web-based surveys were sent to 450 providers and 2,955 parents with response rates of 8.9% and 4.0%, respectively. Less than half of parent participants reported that their health provider discussed PPD with them. Participants identified a number of barriers to increasing access and utilization of PPD support resources, including: not feeling like symptoms were server enough, feeling embarrassed to seek help, not knowing where to find support/information, and not able to afford or insurance wouldn't cover PPD support. Only 40% of providers reported screening for PPD and 33% felt they had not received adequate training. Barriers identified by providers were a lack of trained providers, lack of PPD specific support groups, cultural stigma, and lack of PPD awareness among providers. Of the women who did not exclusively breastfeed for the full six-month recommendation, the most common breastfeeding concerns included: perceptions of low milk supply; lack of lactation support; medical reasons; and pain. Providers described an environment of uneven distribution of resources, general lack of awareness of available resources, along with a

  11. Complementary and alternative medicine (CAM) use in children with functional abdominal pain (FAP) and irritable bowel syndrome (IBS) differs in tertiary vs. primary care and is related to mother's view of child disability

    Science.gov (United States)

    We sought to determine if CAM use was greater in children in tertiary vs. primary care, and whether child or parent report of pain characteristics, and/or child and mother's psychological characteristics differed between those who did/did not use CAM. We identified children 7-10 years of age with FA...

  12. Crisis Response

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    East Asian countries consider a financial alliance tostabilize the regional economy East Asian financial cooperation has come under the spotlight once again amid the spiraling global financial crisis originated in the

  13. Crisis communications.

    Science.gov (United States)

    Niewenhous, Daria; Sterling, Nancy

    2008-01-01

    Whether healthcare security is directly or indirectly involved in a crisis that will involve the media, it will pay to better familiarize yourself with the kind of planned responses discussed in this article to mitigate negative outcomes.

  14. Financial Crisis

    Institute of Scientific and Technical Information of China (English)

    黄骅

    2012-01-01

      Financial crisis started from America and soon spread all over the world. How did this happen? What government has done to rescue the economy and what should we do to help? Is financial crisis inevitable? These questions have bothered me for a long time. However, if we use a macroeconomist eye to view the world, all the questions seemed clear and crystal.

  15. Self-help groups can improve utilization of post-natal care by HIV-positive mothers

    NARCIS (Netherlands)

    T.A. Nguyen; P. Oosterhoff; P.N. Yen; P. Wright; A. Hardon

    2009-01-01

    HIV prevention within maternal-child health services has increased in many developing countries, but many HIV-infected women in developing countries still receive insufficient postnatal care. This study explored the experience of 30 HIV-infected women in Vietnam in accessing HIV-related postnatal ca

  16. Transitional Phase or a New Balance? Working and Caring by Mothers With Young Children in the Netherlands

    NARCIS (Netherlands)

    Wel, Frits van; Knijn, Trudie

    2006-01-01

    In recent years in the Netherlands, mothers’ labor participation has increased sharply. This article examines which factors influence mothers’ employment rates and the division of household and caring responsibilities between parents. From research among 1,285 women with young children, it appears t

  17. The impact of the method Kangaroo Mother Care in the learning process of low-birth-weight preterm infants: A literature review

    Directory of Open Access Journals (Sweden)

    Mariana de Paiva Franco

    2014-04-01

    Full Text Available Technology advances and scientific studies in Neonatal Intensive Care Units (NICU have contributed significantly to reduce mortality and morbidity of at-risk newborns (NB. However, they are more likely to present neurological and/or developmental psychomotor delay with neurological and sensory alterations. Therefore, proposals for neonatal intervention were developed with the aim of protecting the baby and offering appropriate incentives to minimize the effects of hospital intervention. To this end, programs of protective measures such as the Kangaroo Mother Care (KMC were developed. Given the relevance of the issue described, this systematic review critically appraises articles from the national and international literature, published in recent years (from 2000 to 2011, that describe whether the KMC can be a protective factor for the development of writing in premature infants. The textual search was conducted using the Virtual Health Library (VHL, a website that covers publications worldwide, allowing access to articles from health science, including LILACS, IBECS, MEDLINE, Cochrane Library and SciELO, as database. The findings revealed that infants who participated in the KMC program showed improvements in their development and that factors such as low-birth-weight prematurity and learning disorders have close relationship with the onset of motor impairments and changes in psychomotor development. The findings showed no articles describing the KMC as a protective factor for the incidence of dysgraphia. Thus, we emphasize the importance of conducting further studies on these topics.

  18. Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon

    NARCIS (Netherlands)

    N.G. Schwarz; M. Gysels; C. Pell; J. Gabor; M. Schlie; S. Issifou; B. Lell; P.G. Kremsner; M.P. Grobusch; R. Pool

    2009-01-01

    The aim of this paper is to explore attitudes of mothers towards childhood vaccinations and reasons for non-attendance and non-adherence to mother-child clinics (MCCs). Forty in-depth interviews with mothers of children under 5 years of age revealed positive attitudes towards vaccination that seem a

  19. Dead infants, cruel mothers, and heroic popes: the visual rhetoric of foundling care at the hospital of Santo Spirito, Rome.

    Science.gov (United States)

    Presciutti, Diana Bullen

    2011-01-01

    The fresco cycle painted at the behest of Pope Sixtus IV in the late 1470s in the main ward of the hospital of Santo Spirito in rome comprises an extended pictorial biography of Sixtus, prefaced by scenes representing the legendary foundation of the hospital by his predecessor Innocent III. The legend, which tells how Innocent established Santo Spirito as a foundling hospital in response to the discovery of victims of infanticide in the Tiber River, positions the pope as the savior of the city's unwanted children. This article elucidates how the construction and renovation of the hospital is presented in the cycle as a generative product of papal will, with the care of foundlings situated as an integral part of the image of the pope as both Father of the Church and restorer of past glory to the city of Rome. While the frescoes engage with both widespread conventions for representing infanticide and commonplace notions of the social value of caring for abandoned children, I demonstrate that the ideologically potent visual rhetoric of foundling care was also flexible, and could be adapted to meet the specific needs of a particular institutional and patronal context.

  20. Family Policy in Canada: The Case of Mothers' Allowances.

    Science.gov (United States)

    Hepworth, H. Philip

    Allowances for mothers in the prairie provinces of Canada originated when long-term trends converged at a time of unprecedented social, economic, and political crisis for the state. One crisis condition, World War I, afforded an opportunity for the proponents of both female emancipation and prohibition to combine and force concessions from the…

  1. 护理程序在流动人口妇幼保健管理中的应用%Application of nursing process in the management of mother and child care among floating population

    Institute of Scientific and Technical Information of China (English)

    陈国伶; 饶艳华

    2010-01-01

    Objective To explore the management mode for mother and child care service among floating population. Methods Nursing process was applied for assessment, diagnosis, plan, implementation and evaluation of management mode for mother and child care service among floating population in Shiqiao street, Xiacheng district, Hangzhou city. Results Compared with those three years before implementing the nursing process, the management of mother and child care was enhanced, for example, the record rate of pregnant woman increased by 208.82% and the systematic management rate increased by 32.70%, the record rate of child care increased by 931.73%, the systematic management rate of child care increased by 31.85%. Conclusions If used properly, nursing process can help to promote the management of mother and child care among floating population greatly.%目的 探讨为流动人口提供妇幼保健服务的管理模式.方法 应用护理程序对杭州市下城区石桥街道的流动人口妇幼保健管理进行评估、诊断、计划、实施和评价.结果 和实施计划前3年相比,流动人口妇幼保健管理得到了加强,如孕妇建卡率增加了208.82%,系统管理率提高了32.70%,儿童保健建卡率增加了931.73%,系统管理率提高了31.85%.结论 正确应用护理程序可以有效促进流动人口自觉纳入社区妇幼保健管理.

  2. Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North-East India

    Directory of Open Access Journals (Sweden)

    Medhi R

    2016-04-01

    Full Text Available Robin Medhi, Banani Das, Arpana Das, Mansur Ahmed, Sonika Bawri, Suditi Rai Department of Obstetrics and Gynaecology, Silchar Medical College and Hospital, Silchar, Assam, India Purpose: To analyze the adverse obstetrical and perinatal outcome of adolescent mothers associated with first birth. Patients and methods: This prospective case-control study was conducted in a tertiary care teaching hospital of North-East India between January 2014 and December 2014. All adolescent primigravidae completing 28 weeks of gestation with singleton pregnancy and delivered at our institution were included in the study group. Primigravidae aged between 20 and 25 years were taken as a control group. Mothers having pregnancy complicated with diabetes mellitus, renal disorder, thyroid disorders, and cardiac diseases were excluded from the study. Demographic data, maternal complications like severe anemia, pre-eclampsia, eclampsia, gestational age at delivery, mode of delivery, and postpartum complications were compared. Among fetal complications, low-birth weight, preterm birth, neonatal intensive care unit admission, still birth, and early neonatal death were compared. All the patients were interviewed regarding contraceptive knowledge and its use preceding the pregnancy. Results: Quality antenatal care was received by 80.6% of adolescent mothers. The adolescent mothers had a higher incidence of pre-eclampsia (odds ratio [OR] 2.017 95% confidence interval [CI]: 1.045–3.894, P=0.03, preterm deliveries (OR: 1.655, 95% CI: 1.039–2.636, P=0.03. Among fetal outcomes, the low- birth weight babies (OR: 1.59, 95% CI: 1.016–2.478, low mean birth weight (2,544.4±622.09 g versus 2,701.6±582.51 g, and higher admission to neonatal intensive care unit (OR: 1.957, 95% CI: 1.120–3.417 were significantly associated with adolescent mothers. There was no significant difference found regarding the mode of delivery, still birth, and early neonatal death. Moreover

  3. Community strategies that improve care and retention along the prevention of mother-to-child transmission of HIV cascade: a review

    Directory of Open Access Journals (Sweden)

    Benjamin Ryan Phelps

    2012-07-01

    Full Text Available Introduction: While biomedical innovations have made it possible to prevent the vertical transmission of HIV from mother to child, poor retention along the prevention of mother-to-child transmission (PMTCT cascade continues to limit the impact of programmes, especially in low-resourced settings. In many of the regions with the highest burden of HIV and the greatest number of new paediatric cases, the uptake of facility-based care by pregnant women remains low. In such settings, the continuum of care for pregnant women and other women of reproductive age necessarily relies on the community. There is no recent review capturing effective, promising practices that are community-based and/or employ community-oriented groups to improve outcomes for the prevention of vertical transmission. This review summarizes those studies demonstrating that community-based and community-oriented interventions significantly influence retention and related outcomes along the PMTCT cascade. Methods: Literature on retention within prevention of vertical transmission programmes available on PubMed, Psych Info and MEDLINE was searched and manuscripts reporting on key prevention of vertical transmission outcomes were identified. Short-listed studies that captured significant PMTCT outcome improvements resulting from community-based interventions or facility-based employment of community cohorts (e.g. lay counsellors, community volunteers, etc. were selected for review. Results: The initial search (using terms “HIV” and “PMTCT” yielded 430 articles. These results were further narrowed using terminology relevant to community prevention of vertical transmission strategies addressing retention: “community,” “PMTCT cascade,” “retention,” “loss to follow up” and “early infant diagnosis.” Nine of these reported statistically significant improvements in key prevention of vertical transmission outcomes while meeting other review criteria. Short

  4. La crisis

    Directory of Open Access Journals (Sweden)

    Alan Greenspan

    2010-06-01

    Full Text Available Este artículo revisa las causas de la crisis, explora la naturaleza de la intermediación financiera, presenta un conjunto de reformas para superar las deficiencias de la estructura reguladora y examina el papel de la política monetaria en la crisis actual. Concluye que es primordial aumentar los requerimientos regulatorios de capital y de liquidez de los bancos e incrementar en forma significativa las garantías obligatorias de los productos financieros que se negocian globalmente.

  5. La crisis

    OpenAIRE

    Alan Greenspan

    2010-01-01

    Este artículo revisa las causas de la crisis, explora la naturaleza de la intermediación financiera, presenta un conjunto de reformas para superar las deficiencias de la estructura reguladora y examina el papel de la política monetaria en la crisis actual. Concluye que es primordial aumentar los requerimientos regulatorios de capital y de liquidez de los bancos e incrementar en forma significativa las garantías obligatorias de los productos financieros que se negocian globalmente.

  6. For mothers and sisters: care of the reproductive female body in the medico-ritual world of early and medieval Japan.

    Science.gov (United States)

    Triplett, Katja

    2014-01-01

    While married female members of the Japanese aristocracy followed the ideal of bearing children, female Buddhist novices and ordained women, often belonging to the aristocracy themselves, had to abstain from sexual activity and reproduction in accordance with the ordination rules. Infertility was considered with disdain by the first group, whereas not bearing children was the utmost expression of leading a virtuous life for the second group. However, both groups were concerned with keeping their physical bodies healthy: some to become mothers, the others to live as nuns or religious sisters. Focusing on the early medieval period, this paper examines various sources to illuminate the ways in which women were cared for and the kind of views and ideas that informed this care. Instead of looking at the ancient methods of treatment through a modern "scientific" lens and sorting them into "proto-scientific" and "superstitious" categories, medico-ritual and religious views on the female body are explored as facets of the worldview prevalent in the period under consideration. Special attention is paid to relevant chapters of the first medical work produced in Japan, the Ishinpō, compiled by a court physician, Tanba no Yasuyori, in the late 10th century CE. The investigation of other sources, such as Buddhist legends and doctrinal texts, suggests that women were recommended to seek to overcome their femaleness altogether by transforming their female bodies into male bodies in order to reach ultimate "healing" in terms of salvation. In lay circles, however, the Buddhist divinities and other powerful deities were worshipped to ensure this-worldly "healing" in terms of successful procreation and continuation of the family line. PMID:25508818

  7. For mothers and sisters: care of the reproductive female body in the medico-ritual world of early and medieval Japan.

    Science.gov (United States)

    Triplett, Katja

    2014-01-01

    While married female members of the Japanese aristocracy followed the ideal of bearing children, female Buddhist novices and ordained women, often belonging to the aristocracy themselves, had to abstain from sexual activity and reproduction in accordance with the ordination rules. Infertility was considered with disdain by the first group, whereas not bearing children was the utmost expression of leading a virtuous life for the second group. However, both groups were concerned with keeping their physical bodies healthy: some to become mothers, the others to live as nuns or religious sisters. Focusing on the early medieval period, this paper examines various sources to illuminate the ways in which women were cared for and the kind of views and ideas that informed this care. Instead of looking at the ancient methods of treatment through a modern "scientific" lens and sorting them into "proto-scientific" and "superstitious" categories, medico-ritual and religious views on the female body are explored as facets of the worldview prevalent in the period under consideration. Special attention is paid to relevant chapters of the first medical work produced in Japan, the Ishinpō, compiled by a court physician, Tanba no Yasuyori, in the late 10th century CE. The investigation of other sources, such as Buddhist legends and doctrinal texts, suggests that women were recommended to seek to overcome their femaleness altogether by transforming their female bodies into male bodies in order to reach ultimate "healing" in terms of salvation. In lay circles, however, the Buddhist divinities and other powerful deities were worshipped to ensure this-worldly "healing" in terms of successful procreation and continuation of the family line. PMID:25481966

  8. The crisis in human resources for health care and the potential of a 'retired' workforce: case study of the independent midwifery sector in Tanzania.

    Science.gov (United States)

    Rolfe, Ben; Leshabari, Sebalda; Rutta, Fredrik; Murray, Susan F

    2008-03-01

    The human resource crisis in health care is an important obstacle to attainment of the health-related targets for the Millennium Development Goals. One suggested strategy to alleviate the strain upon government services is to encourage new forms of non-government provision. Detail on implementation and consequences is often lacking, however. This article examines one new element of non-government provision in Tanzania: small-scale independent midwifery practices. A multiple case study analysis over nine districts explored their characteristics, and the drivers and inhibitors acting upon their development since permitted by legislative change. Private midwifery practices were found concentrated in a 'new' workforce of 'later life entrepreneurs': retired, or approaching retirement, government-employed nursing officers. Provision was entirely facility-based due to regulatory requirements, with approximately 60 'maternity homes' located mainly in rural or peri-urban areas. Motivational drivers included fear of poverty, desire to maintain professional status, and an ethos of community service. However, inhibitors to success were multiple. Start-up loans were scarce, business training lacking and registration processes bureaucratic. Cost of set-up and maintenance were prohibitively high, registration required levels of construction and equipping similar to government sector dispensaries. Communities were reluctant to pay for services that they expected from government. Thus, despite offering a quality of basic maternity care comparable to that in government facilities, often in poorly-served areas, most private maternity homes were under-utilized and struggling for sustainability. Because of their location and emphasis on personalized care, small-scale independent practices run by retired midwives could potentially increase rates of skilled attendance at delivery at peripheral level. The model also extends the working life of members of a professional group at a time of

  9. Presentation of the CEA's crisis national organization: coordination centre in case of crisis, crisis technical teams, intervention means, and so on

    International Nuclear Information System (INIS)

    After having briefly recalled the existence of a legal framework for crisis management organisation, this report briefly describes how the CEA plans the crisis management. This management is based on the definition of critical scenarios, on the building up of a crisis management team, and on the elaboration of crisis management operational documents. It evokes the alert organisation and the triggering of crisis management. Then, it describes the CEA's national crisis organisation with its main crisis management structures, the role and the operation of the Crisis Coordination Centre (CCC, the decision body), the role and operation of the Central Crisis Technical Teams (ETC-C, Equipes Techniques de Crise Centrales), the role of field interveners (various rescue, protection, health care and technical teams) and of other additional intervention actors. It evokes the objectives of the various exercises which are organised every year at the internal, national or international level

  10. Crisis meeting

    CERN Multimedia

    Staff Association

    2014-01-01

      To all CERN staff: your rights are at risk ! We invite you to come to a crisis meeting on Wednesday 2nd April at 10:30 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned !

  11. Crisis meeting

    CERN Multimedia

    Staff Association

    2015-01-01

    To all CERN staff: your rights are at risk! We invite you to come to a crisis meeting on Thursday 7th May 2015 at 9 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned!

  12. Crisis Management

    Science.gov (United States)

    Brock, Stephen E., Ed.

    2011-01-01

    This paper presents summaries of four articles relevant to school crisis response. The first article, "Peritraumatic Dissociation Predicts Posttraumatic Stress in Youth Following Accidents" summarized by Jim Matthews, suggests that peritraumatic dissociation is a powerful predictor of PTSD symptoms among youth who have been in a car accident. The…

  13. Supporting mothers: issues in a Community Mothers Programme

    OpenAIRE

    O'Connor, Pat

    2001-01-01

    peer-reviewed This article describes a community support programme which implicitly challenges the assumption that the existence of a partner and local kin obviates the need to support women when they come home from hospital with a new baby. Implicit in the programme is the idea that support by mothers, of mothers, validates the activity of child care and is one way of facilitating the child's development. This programme was successful in terms of its perceived impact on both the providers...

  14. CAN syndrome in the crisis intervention

    OpenAIRE

    IGNATIDISOVÁ, Andrea

    2011-01-01

    This work is focused on CAN syndrome (child abuse and neglect syndrome) in the crisis intervention. This thesis deals with closer analysis of individual forms of CAN syndrom - mainly with physical abuse, psychological abuse, sexual abuse and neglect. Basic legislative of this topic and the most important institutions which care about children with CAN syndrome within crisis intervention are presented here.

  15. INVESTIGATION OF PURCHASING TRENDS OF AFTER BIRTH MOTHER AND BABY CARE ASSISTANT SERVICE WITH STRUCTURAL EQUATION MODELS

    Directory of Open Access Journals (Sweden)

    Münevver TURANLI

    2016-01-01

    Full Text Available Aim: The purpose of this study, 25-40 years married, gave birth in the last 5 years or are considering having children according to their answers to the survey on women in a buying trend, identify the factors that affect this trend and create sales and marketing strategy is to show the way for the sector to determine. Method: The research population aged 25-40 are married, have given birth in the last 5 years or so were women who are considering having children. Used in the research literature is very collection tool was created based on the research literature. Questions that we used in our study has been prepared in accordance with the opinion of the assistant nurses working in neonatal hospital care providers. The questionnaire was presented on social networking sites and answers are stored in a virtual environment. Data were analyzed by analysis and structural equation models were tried to be. Results: 173 women participated in the survey; The average age is 30 and 3.5% of primary school graduates, 28.3% graduated from high school or equivalent, 68.2% have graduated from college or higher education. The majority in terms of income level while a good income, have stated that they have a very small portion of the lower income levels. Conclusions: Service organizations that provide services to women’s needs and the expectations are in line with the family financially if it should make a compensation in the direction to exceed the budget.

  16. Access to Care for Multiple Sclerosis in Times of Economic Crisis in Greece – the HOPE II Study

    Directory of Open Access Journals (Sweden)

    Kyriakos Souliotis

    2016-02-01

    Full Text Available Background While there is currently no cure for multiple sclerosis (MS, treatment with biologic diseasemodifying drugs (bDMDs can reduce the impact of the condition on the lives of patients. In Greece, the regulatory change in the distribution system of bDMDs, limited their administration through the designated pharmacies of the National Organization for Healthcare Services Provision (EOPYY or the National Health System (ESY hospitals, thus potentially impacting access to MS treatment. In this context, the aim of this paper was to assess the barriers to bDMDs, by recording MS patients’ experiences. Methods A survey research was conducted between January and February 2014 in Athens and 5 other major Greek cities with the methods of personal and telephone interview. A structured questionnaire was used to elicit socio-economic and medical information, information related to obstacles in accessing bDMDs and medical treatment, from MS patients that visited EOPYY pharmacies during the study period. Results During the last year 69% of 179 participants reported that the distribution system of bDMDs has improved. Thirteen percent of participants encountered problems in accessing their medication, and 16.9% of participants in accessing their physician, with the obstacles being more pronounced for non-Athens residents. Frequent obstacles to bDMDs were the distance from EOPYY pharmacies and difficulties in obtaining a diagnosis from an EOPYY/ESY physician, while obstacles to medical care were delays in appointment booking and travel difficulties. Conclusion Even though the major weaknesses of the distribution system of bDMDs have improved, further amelioration of the system could be achieved through the home delivery of medicines to patients living in remote areas, and through the development of a national MS registry.

  17. Knowledges of nurses about classified crisis intervention on the standard internal and surgery wards

    OpenAIRE

    SOCHOROVÁ, Alena

    2008-01-01

    Crisis intervention introduces professional help to a person in crisis. Every person experiences their crisis in specific way. Crisis intervention doesn`t only mean communication skills, which include verbal, nonverbal, and paraverbal areas. Even though crisis intervention is especially a domain of psychiatric units, knowledge of it is important even in departments not specifically conversant with illnesses of psyche. In health care within the Czech Republic exist standards for crisis interve...

  18. Crisi della struttura o crisi della semantica?

    Directory of Open Access Journals (Sweden)

    Fedele Paolo

    2015-12-01

    Full Text Available Political crisis, crisis of the science, economic crisis or crisis of the society as a whole? The concept of “Crisis” is nowadays essential to describe social phenomena. But is this a structural crisis of contemporary society or is it a crisis of the semantics or is it a conceptual heritage used to describe the current evolution of society? Starting from the recent developments of systems theory, the paper tries to investigate the developmental phase of modern society and to re-position the concept of crisis in a founded epistemologically framework.

  19. Evaluation of the Factors Concerning the Unexpected Pregnancy of Women who Applied to the Mother and Child Care and Family Planning Center of Van Province

    Directory of Open Access Journals (Sweden)

    Sebahat Gucuk

    2012-02-01

    Full Text Available Introduction: The purpose of this study is to evaluate the experiences of unexpected pregnancy and the related factors of the women who have applied to our center. Material and Method: The study was planned as a descriptive study which enrolled women in the age range of 15-49 on the basis of volunteerism who have applied to the Mother and Child Care and Family Planning Center of Van Province. The participants were administered a survey in which certain situations were questioned, such as age, educational background, age at first labor, income status, number of living children, miscarriage status, unexpected pregnancy status, the presence of trying to undergo an abortion with alternative methods, and the state of receiving consultancy service on pre- and post-pregnancy family planning. Results: The more increased the educational level of 399 women enrolled in the study, the more significant reduction in unexpected pregnancies was detected (P=0.001. When the educational background and the use of alternative methods to have an abortion were compared, the illiterate women were found to use alternative methods (37.6% at a significantly high ratio (p=0.0001. The average of children number of women with at least one unexpected pregnancy was significantly high (p=0.0001. While the ratio of receiving consultancy on post-pregnancy family planning from health care personnel of the women with unexpected pregnancy was 79.5%, a ratio of 97.9% was detected for the women with planned pregnancy which was significantly different (p=0.0001. Conclusion: The health care personnel may reduce the unexpected pregnancies by training women on family planning in a simple, understandable way and by trying to increase health literacy by taking the dominant social rules in our region into consideration. We consider that the primary healthcare will be more effective and result oriented through newly applied Family Practice in our region. Key Words: Unexpected pregnancy

  20. Disclosure experience to partner and its effect on intention to utilize prevention of mother to child transmission service among HIV positive pregnant women attending antenatal care in Addis Ababa, Ethiopia

    OpenAIRE

    Sendo, Endalew Gemechu; Cherie, Amsale; Erku, Tadese Asfaw

    2013-01-01

    Background Disclosure of HIV status has become an entry criterion for prevention of mother to child transmission programs in resource-constrained countries. However, little has been explored about the prevalence of, barriers to, outcomes and factors associated with HIV status disclosure among HIV positive pregnant women in Ethiopia. Method Cross- sectional study was conducted among 107 pregnant women who were attending antenatal care in public centers from April to June 2011 in Addis Ababa ca...

  1. Observation on the clinical application effect of bedside mother-and-baby care model%母婴床旁护理工作模式的临床应用及效果观察

    Institute of Scientific and Technical Information of China (English)

    王玉玲; 王玉杰; 刘铭; 梁文化; 高钿

    2012-01-01

    Objective: To investigate the application effect of bedside mother - and - baby care model. Methods: 300 pairs of mothers and babies were randomly divided into an observation group and a control group (150 pairs in each group ). The bedside mother - and - baby care model was applied in the observation group and the conventional mother - and - baby care model was used in the control group. The satisfaction of puerperant, sense of safety, the grasp of knowledge about maternal care and the incidence of nosocomial infections were compared between the two groups. Results: There were statistically significant differences in the comparison of the satisfaction of puerperant, sense of safety, the grasp of knowledge about maternal care between the two groups after the implementation of bedside mother - and - baby care model ( P < 0.05 ), but the incidence of nosocomial infections compared between the two groups was not significantly different. Conclusion: The puerperant can enjoy the family - style and individualized service through the implementation of bedside mother - and - baby care model, by which the puerperant s satisfaction with the nursing service will be improved and the comprehensive ability of nurses be enhanced. The bedside mother - and - baby care model can be used as a new nursing model to improve the quality of nursing care in the obstetrical department.%目的:探讨母婴床旁护理工作模式的临床应用效果.方法:将300对母婴随机分为观察组和对照组各150对,观察组实行母婴床旁护理模式,对照组实施传统的母婴护理模式.比较两组产妇对护理服务满意度、产妇安全感、母婴护理知识技术掌握情况及护士工作满意度、院内感染发生情况的差异.结果:观察组实施母婴床旁护理模式后产妇满意度提高、对母婴护理知识技术掌握程度提高,产妇更有安全感,护士工作满意度提高,与对照组比较差异有统计学意义(P<0.05);观察组院内感染

  2. My Mother

    Institute of Scientific and Technical Information of China (English)

    于艺海; 胡宝兰

    2002-01-01

    My mother is a teacher She works in a middle school.She teaches music.She can sing very well She teaches four classes every day.She works very hard.She likes her work very much and she loves to work for children.too.

  3. Information Crisis

    CERN Document Server

    Losavio, Michael

    2012-01-01

    Information Crisis discusses the scope and types of information available online and teaches readers how to critically assess it and analyze potentially dangerous information, especially when teachers, editors, or other information gatekeepers are not available to assess the information for them. Chapters and topics include:. The Internet as an information tool. Critical analysis. Legal issues, traps, and tricks. Protecting personal safety and identity. Types of online information.

  4. A qualitative study on the child care experience in mothers of premature infants discharged from the neonatal intensive care unit%新生儿重症监护室出院早产儿母亲育儿生活体验的质性研究

    Institute of Scientific and Technical Information of China (English)

    周明芳; 藤本荣子; 晏玲; 王楠; 刘蕾

    2012-01-01

    目的 了解新生儿重症监护室出院早产儿母亲的育儿生活体验.方法 采用质性研究法,对16例早产儿母亲在婴儿出院后1个月时进行深度访谈.结果 母亲在早产儿出院后经历了“母乳喂养困难与哺乳不确定性的困惑”“自我育儿能力低下的无措感”“对早产儿常见症状的不安”“育儿负担感”“育儿信息所致的混乱与不安”等育儿体验.结论 早产儿母亲存在育儿困难,在育儿过程中感受到强烈的不安,探讨这个群体母亲的护理支持方案是当前急需解决的课题之一.%Objective To understand the child care experience in mothers of premature infants discharged from the neonatal intensive care unit (NICU). Methods In-depth interview was conducted on 16 mothers of premature infants one month after discharge from NICU. Results After discharged from NICU,the mothers experienced uncertainty of breastfeeding and frustration due to lack of breeding knowledge,sense of incompetency in child care,anxiety about symptoms of premature infants,burden of parenting, and confusion about conflict information for child care. Conclusion The mothers of premature infants experience difficulties and anxieties in child care. It is essential to further explore an effective nursing support program for the mothers of premature infants.

  5. Nursing Behaviors which Facilitate the Grief Work of Parents with Premature Infants in Neonatal Intensive Care Unit: A Comparison of Mothers and Fathers

    OpenAIRE

    Rahiminia, Elaheh

    2013-01-01

    Background: The birth of a child is an event to be remembered. However, a premature birth may shock the parents and cause their grief. Understanding differences between mothers and fathers can help nurses in providing nursing supports. Objectives: This study was performed with the aim of comparing nursing behaviors which facilitate grief work for parents of premature infants hospitalized in the NICU from perspectives of mothers and fathers. Patients and Methods: This comparative descriptive d...

  6. Economic Crisis's Impact on Health Care System and the Implications:From an International Perspective%国际视阈下经济危机对卫生的影响及启示

    Institute of Scientific and Technical Information of China (English)

    陈丽; 姜鸿; 姚岚

    2014-01-01

    This paper analyzed economic crisis's impact on health care system and the consequent effect on citizen's health in different countries. Relevant measures and experiences in reacting to the economic crisis in different countries were de-scribed,which could be helpful for governments to improve the ability of resolving economic crisis effectively. Policy advices were proposed for making better strategies in the future.%本文分析了经济危机对各国卫生体系发展的影响,通过对经济危机影响各国卫生体系进而影响居民健康的分析,概括总结各国应对经济危机的相关经验和具体措施,有利于提高各国政府应对经济危机的能力,为今后制定更好的策略提供政策建议。

  7. Conhecimentos e práticas em saúde bucal de mães que freqüentaram um programa odontológico de atenção materno-infantil Knowledge of oral health and practices among mothers attending a mother-child dental care program

    Directory of Open Access Journals (Sweden)

    Lúcia de Fátima Almeida de Deus Moura

    2007-08-01

    Full Text Available O objetivo do presente estudo foi avaliar a assimilação e as práticas preventivas em saúde bucal adotadas por mães de crianças que freqüentaram um programa odontológico de atenção materno infantil. O Programa Preventivo para Gestantes e Bebês (PPGB é um programa de extensão vinculado à Universidade Federal do Piauí (UFPI, que tem como meta a conscientização de gestantes e mães de crianças de zero a 36 meses para a adoção de hábitos favoráveis à obtenção de saúde bucal. Realizou-se uma seleção aleatória de fichas clínicas de crianças que haviam participado do PPGB e, através destas fichas, foram enviadas cartas às mães. Houve um retorno de 281 mães, as quais foram submetidas a entrevistas envolvendo os temas abordados pelo programa. Pelos resultados obtidos, pôde-se concluir que as mães freqüentadoras do PPGB detêm um bom nível de informação e adotam, no âmbito familiar, práticas de saúde favoráveis ao controle e prevenção de doenças bucais.This study assesses the assimilation of knowledge and preventive practices in oral health among the mothers of children assisted by a mother-child dental care program. The Preventive Program for Pregnant Mothers and Babies (PPPMB is an extension project run by the Piauí Federal University (UFPI, whose goal is to make pregnant women and mothers of children from zero to 36 months old more concerned about habits fostering oral health. After a random selection of clinical record cards for children who had participated in this Program, letters were sent to their mothers. Feedback was received from 281 mothers, who responded through interviews that included questions on matters addressed by the Program. The findings indicate that mothers attending this Program were properly informed, adopting hygienic practices in their families that underpin the control and prevention of oral diseases.

  8. Motherly Precaution

    Directory of Open Access Journals (Sweden)

    David Middleton

    2005-01-01

    Full Text Available Translated onto glass from copper plates As from Rembrandt or Brueghel or their heirs In whose busy depictions such an act Is incidental, some side-alley fact, Now placed here in the center by Millet -- This all too human scene, both rude and true: A mother wrinkling up her young son’s gown  Before he wets himself on backdoor steps Where his six-year-old sister, shrinking, stares At the wobbly colossus, wholly exposed. His soft hand grips his mother’s muscled wrist, Still nearer to the milked...

  9. Mother,I Want to Say...

    Institute of Scientific and Technical Information of China (English)

    果佳; 姜国强; 姜鹏; 王杨

    2007-01-01

    The greatest love in the world is mother’s love.Our mothers take care o6 us day and night.They tell us how to learn,how to live and how to get on with others... Do you have anything to say to your mother?

  10. Atendimento à crise psíquica no pronto-socorro: visão de profissionais de enfermagem La atención a la crisis psíquica en la unidad de urgencias: la visión del equipo de enfermería Psychic crisis care in the emergency room: nursing staff's view

    Directory of Open Access Journals (Sweden)

    Leandro da Rosa Borges

    2012-09-01

    Full Text Available O objetivo do estudo foi conhecer a visão da equipe de enfermagem sobre o atendimento à crise psíquica em uma unidade de emergência de um Pronto-Socorro. Trata-se de um estudo de abordagem qualitativa que utilizou, como técnica para coleta de dados, a aplicação de entrevistas semiestruturadas com dois enfermeiros e três técnicos de enfermagem que trabalhavam na unidade de emergência durante o turno da manhã e tarde. A análise dos dados foi orientada a partir da análise de conteúdo com formação das seguintes categorias temáticas, que permitiram a melhor visualização dos resultados: o conceito de crise para a equipe do pronto-socorro e as diferentes expressões do sofrimento e os recursos terapêuticos para o enfrentamento e a minimização dos encargos da crise. Evidenciou-se que a equipe de enfermagem costuma justificar as dificuldades de atendimento à crise psíquica pela falta de tempo, inadequação do espaço físico e despreparo da mesma.El presente estudio tuvo como objetivo conocer la visión del equipo de enfermería sobre la atención a la crisis psíquica en una unidad de urgencias. Se trata de un estudio de abordaje cualitativo que utilizó, como técnica de recolección de datos, entrevistas semiestructuradas. Participaron de la investigación dos enfermeras y tres técnicos de enfermería que trabajaban en la unidad de urgencias durante las mañanas y las tardes. El análisis de datos fue orientado a partir de las siguientes temáticas: el concepto de crisis para el equipo de una unidad de urgencias y las diferentes expresiones del sufrimiento y los recursos terapéuticos para el enfrentamiento y disminución de los encargos de la crisis. Suele justificar las dificultades de atención a la crisis por la falta de tiempo, inadecuación de espacio físico y la falta de preparación de la misma.This study was aimed at finding out the nursing staff's view about psychic crisis care in an emergency room unit. This is a

  11. Crisis management and crisis prevention

    International Nuclear Information System (INIS)

    This paper reports that many proposals have come forth to ease the tension between East and West. Some focus on arms developments, others take up diplomatic issues. In addition, some have raised the question of crisis management and crisis prevention. Can crises be prevented even before they have taken place? The Palme Commission on Disarmament and Security suggested, in its 1982 report, ways of restraining superpower involvement in Third World conflicts. Such conflicts, it was argued, could escalate and ultimately result in nuclear confrontation between the United States and the Soviet Union. Certainly, the commission also paid attention to conflicts over issues in Europe and to problems in Eastern or in Western Europe. However, the commission raised a question that lately has received increasing attention: the dangers of superpower confrontation over Third World issues. In his statement to the United Nations on 24 October 1985, President Regan pointed to the need for settling regional conflicts as they play a large role in building suspicions and tensions. Regan's initiative explicitly concerned Afghanistan, Cambodia, Ethiopia, Angola and Nicaragua. It included negotiations with the Soviet Union over Afghanistan, and, at a later stage, also over other issues. The goal, he the, was not to force a settlement on the parties. The initiative concerned issues that have for the American public, justified armaments and reduced Soviet credibility

  12. [Crisis and future of humanity].

    Science.gov (United States)

    Bellver Capella, Vicente

    2012-09-01

    We live in troubling times. The economic crisis fills us with anxiety. Young, unemployed and throes to finish living worse fear that their parents are not able to take charge of the situation. What has happened to that Spain and Europe, less than four years ago seemed to land of opportunities for native and foreign, have become hostile territories? The economic crisis does not explain everything; It is only a symptom that the basis on which we were building the future were not as firm. It is true that the crisis has brought to bare the obscenity of speculative financial capitalism. It is also true that this crisis can be the great opportunity to build the world on a human and sustainable economic basis, i.e.,just the opposite of the current submission to the dictatorship of the financial markets. But the contemporary crisis has deep and extensive roots. I will refer to other crises, as important or more than the economic one, because to glimpse the future it is essential to carefully track the present and discover the "weak signals" the latent opportunities that await we become them realities. PMID:23066563

  13. 76 FR 27601 - Mother's Day, 2011

    Science.gov (United States)

    2011-05-11

    ... as families balance the demands of work, child and elder care, and education. My budget strengthens... the roles and responsibilities of mothers have evolved, their guidance and care remains as strong and... the women in our lives who care for us, shape our values, and set us on the path to a limitless...

  14. The Importance of Marketing Activities during the Economic Crisis

    OpenAIRE

    Isachi Silvia Elena; Chi?iga Georgiana

    2013-01-01

    The aim of the article is to present the impact of the global crisis on the marketing activity. In this period of crisis, in order to diminish the negative influences of the crisis, the marketing budgets must be made more efficient. Consumers, especially in a time of crisis, become more careful, get more informed, look for alternatives. Panic is the first negative effect which the economic crisis brings in the consumers’ consciousness. Not all consumers are affected at the same level by the f...

  15. Halt mich fest! Picasso und die Identitätskrise der Ikonographie als Mutter der Kunst-Interpretation Hold Me Tight! Picasso and the Identity Crisis of Iconography as the Mother of Art Interpretation

    Directory of Open Access Journals (Sweden)

    Bärbel Küster

    2004-11-01

    Full Text Available Picassos Ölgemälde La Vie (Das Leben von 1903 gilt als ein Bild, in dem der junge Picasso den Tod eines nahen Freundes und zugleich die Ablösung vom Elternhaus verarbeitet. Becht-Jördens und Wehmeier spitzen diese Interpretation durch die ikonographische Lesart einzelner Gesten zu einer tiefenpsychologischen Ausdeutung der Beziehung zwischen Künstler-Sohn und Mutter zu.Picasso’s oil painting La Vie (Life from 1903 is considered to be an image in which the young Picasso simultaneously reconciles the death of a close friend and the separation from his parents. Becht-Jördens and Wehmeier hone this interpretation with an iconographic reading of individual gestures, bringing it to a subconscious expression of the relationship between the artist son and his mother.

  16. Time allocation of the mother and child nutrition.

    Science.gov (United States)

    Popkin, B M

    1980-01-01

    The effects of labor force participation of mothers on dietary and time inputs into child care, as well as the resultant impact on the nutritional status of children from 34 rural barios in Laguna, Philippines, are examined. Rural mothers who engage in market activities especially in jobs incompatible with child care, are shown to reduce the time they devote to leisure and child care. Child care provided by older-sibling mother substitutes replaces a part of the mother's reduced child care time. Mothers who engage in market activities are able to provide their children with more calories and protein in relation to their needs. Analysis showed, however, that the intrahousehold time substitutions have net negative effects on the average nutritional status of children ages 1-71 months in each rural household. The results of this study are compatible with other studies which indicate potential conflicts between the mother's participation in market work and child nutrition.

  17. CAN MOTHERS CARE FOR ACUTE DIARRHOEAL DISEASE OF THEIR UNDER FIVE CHILDREN EFFECTIVELY AT HOME? A CROSS SECTIONAL STUDY IN SLUM COMMUNITY IN BANKURA

    OpenAIRE

    Eashin; Aniket; Rakesh,; Aditya Prasad; Subhra Samujjwal; Sanjay

    2015-01-01

    BACKGROUND : Diarrhea is one of the major causes of morbidity and mortality in under - five children in developing world like India. WHO & Integrated Management of Neonatal and Childhood Illness ( IMNCI) diarrheal management guidelines encourage mothers and caretakers to treat diarrhoea at home by giving ORS and oral rehydration therapy (ORT) to reduce the duration , severity , hospitalization , overa...

  18. ASSESSMENT OF KNOWLEDGE ABOUT IMMUNIZATION OF UNDER FIVE CHILDREN AMONG MOTHERS ATTENDING OUTPATIENT DEPARTMENT OF PEDIATRICS IN A TERTIARY CARE HOSPITAL IN KOLLAM, KERALA

    OpenAIRE

    Ahmad Nadeem; Athira; Ankitha K .; Athira V; Asha,; Bency; Anas; Ahemmed

    2015-01-01

    BACKGROUND : Immunization is the most cost effective public health intervention to reduce childhood morbidity and mortality. Thousands of children can be saved from vaccine preventable diseases each year by immunization. The knowledge of mothers’ is an important factor for better immunization coverage. Less knowledge affects decision making regarding immunization. OBJECTIVES: To assess the knowledge about immunization of under five children among mothers a ...

  19. The Impending Crisis

    Directory of Open Access Journals (Sweden)

    Raymond L. Kaplan

    2010-11-01

    Full Text Available When you are ill and consult a physician for his or her expertise, many times laboratory testing is part of the clinical workup. This testing is critical to the physician's ability to diagnose the patient's condition. What if testing was not available ... because there was no one to do the testing? Although seemingly far-fetched, this scenario could play itself out in the next ten years due to an impending manpower crisis in laboratory medicine. The profession of Medical Technology, also known as Clinical Laboratory Science, is experiencing a shortage of qualified individuals for a variety of reasons - not the least of which is the closure of almost 70% of the schools teaching this critical profession. Health care workers (HCW rely on accurate and timely clinical laboratory results in order to make decisions for their patients. Because ~ 70% of patient care decisions are based on clinical laboratory results, it is important to have a well-trained supply of laboratory professionals. This article will give an overview of the situation and the possible causes of this shortage, and pose challenges to our profession as to how this crisis can be averted. Visibility of this profession must be a prime focus of this effort in order for the population in general to be aware of the role Clinical Laboratory Scientists play in the health care consortium. This effort should begin early in the educational process, potentially as early as Middle School (junior high school, bringing awareness of the profession not only to students but to educators as well.

  20. Application of solution-focused approach in psychological care for mothers of premature infants%聚焦解决模式在早产儿母亲心理护理中的应用

    Institute of Scientific and Technical Information of China (English)

    冯丽芳; 周兰英; 林雪斌; 魏丽华; 唐凤姣

    2013-01-01

    目的 探讨聚焦解决模式在早产儿母亲心理护理中的应用效果.方法 对2012年1月至9月入住我院新生儿监护病房(NICU)的189例早产儿母亲在早产儿入院时应用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HRSD)进行心理状况调查,筛选出77例存在焦虑、抑郁症状早产儿母亲,随机分为对照组39例和试验组38例,对照组实施常规心理护理,试验组实施聚焦解决模式为理论依据的心理护理干预.干预2周后再次对两组进行评分,比较干预前后焦虑、抑郁情况.结果 试验组及对照组HAMA、HRSD得分在干预2周后均有不同程度的下降,但两组干预后HAMA、HRSD得分比较差异有统计学意义(P<0.01).结论 聚焦解决模式能为早产儿母亲提供切实有效的心理支持,减轻焦虑、抑郁情绪.%Objective To explore the effects of solution-focused approach in psychological care for mothers of premature infants.Methods 77 mothers with anxiety and depressive symptoms who were choosen from the 189 mothers whose psychological state was detected with the Hamilton Anxiety Scale (HAMA) and Hamilton Rating Scale on admission were divided into a control group (39 mothers) and a study group (38 mothers).The control group received routine psychological nursing while the study group received psychological intervention strategy on the basis of solution-focused approach.Two weeks after intervention,symptoms of anxiety and depression were compared between the two groups.Results The scores on the HAMA and HRSD decreased in beth groups two weeks after intervention,with a significant statistical difference between the two groups (P<0.01).Conclusions Solution-focused approach can provide effective psychological support for mothers of premature infants to reduce anxiety and depression.

  1. 58例高血压危象患者的用药护理%58 Cases Medication Care of Patients with Hypertensive Crisis

    Institute of Scientific and Technical Information of China (English)

    祝卫东; 张新菊; 姚金良

    2014-01-01

    高血压危象是以动脉血压为特征,可伴有心脏,血管,脑,肾脏等器官功能性或器质性改变的全身性疾病,用药护理方面非常的重要,熟悉高血压危象处理原则,加强院前急救和并发症的处理,可有效的治疗高血压危象患者,挽救患者的生命。%Hypertensive crisis is characterized by arterial blood pressure, may be accompanied by heart, blood vessels, brain, kidney and other organs functional or structural changes of systemic disease, medication nursing is very important, familiar with hypertensive crisis treatment principles, to strengthen pre hospital first aid and treatment of complications, may be ef ective in the treatment of hypertension in the crisis, to save the lives of patients.

  2. Mother-Infant Group Psychotherapy as an Intensive Treatment in Early Interaction among Mothers with Substance Abuse Problems

    Science.gov (United States)

    Belt, Ritva; Punamaki, Raija-Leena

    2007-01-01

    In this article we present a novel method of outpatient care: brief, dynamic mother-infant group psychotherapy with mothers who have substance use problems. In this therapy, substance abuse treatment is part of mental health and parenting interventions. The focus is on preventing disturbance in the mother-infant relationship in this high-risk…

  3. Hypertensive crisis.

    Science.gov (United States)

    Rubenstein, E B; Escalante, C

    1989-07-01

    Hypertensive crisis is an acute emergency requiring aggressive management. Its incidence has decreased in recent years but still is prevalent in the medical community. From review of past and present treatment regimens, the following recommendations can be considered. (1) In the treatment of malignant hypertension with associated CHF, sodium nitroprusside is still an excellent agent. It has a rapid onset of action and blood pressure can be easily titrated. Nitroglycerin is also another agent that can be used in this situation. (2) In the treatment of malignant hypertension with associated aortic dissection, trimethophan camsylate is the preferred agent. An alternative choice is the combination of nitroprusside and labetalol. (3) In the treatment of malignant hypertension with associated myocardial ischemia, an excellent choice is nitroglycerin. Labetalol also should be considered in this situation. (4) In the treatment of hypertension during pregnancy, hydralazine is still a good choice. Labetalol has also been shown to be efficacious. (5) In the treatment of malignant hypertension with associated cerebral ischemia, the following drugs should be considered: nitroprusside, nitroglycerin, and labetalol. The most important attribute of these agents is that they are nonsedating and rapid in onset. (6) In the treatment of postoperative hypertension the choices best suited are labetalol, enalapril, nitroprusside, and nitroglycerin. These agents are rapid in onset and all can be administered intravenously. PMID:2670090

  4. Dimensiones culturales en el proceso de atención primaria infantil: perspectivas de las madres Cultural dimensions of the childhood primary health care delivery from the mothers' perceptions in the Araucania-Chile

    Directory of Open Access Journals (Sweden)

    Ana María Alarcón-Muñoz

    2005-12-01

    Full Text Available OBJETIVO: Explorar las dimensiones culturales en el proceso de atención primaria infantil desde la perspectiva de las madres que acuden a centros de salud primaria en la región de la Araucania, Chile. MATERIAL Y MÉTODOS: Estudio cualitativo realizado durante el año 2003 en la zona de mayor índice de etnicidad del país. Los participantes fueron 94 madres mapuches y no mapuches a quienes se le aplicó una entrevista en profundidad. RESULTADOS: Tres dimensiones culturales surgieron del análisis: a modelos explicativos de enfermedad asociados a factores culturales, político-económicos, y ambientales; b itinerario terapéutico que combina recursos de los sistemas indígena, popular y biomédico; y c falta de competencia cultural del sistema de atención. CONCLUSIONES: Las madres conciben las enfermedades infantiles articulando componentes mágico-religiosos, y naturales (frío, calor, humedad. La atención de salud infantil enfrenta un importante desafío comunicacional en la superación de barreras sociales y lingüísticas entre madres y personal de salud.OBJECTIVE: To explore the cultural dimensions of the childhood primary health care delivery process from the mothers' perceptions in the Araucania region of Chile. MATERIAL AND METHODS: Qualitative study performed in the year 2003 within the zone with the highest ethnicity rate of the country. Ninety four Mapuche and non-Mapuche mothers agreed to be in depth interviewed. RESULTS: The analysis drew three cultural dimensions: a Explanatory models of disease were associated with cultural, political-economy, and environmental factors; b The therapeutic itinerary blends indigenous, popular, and biomedical resources and; c Health care delivery process lacks of cultural competence. CONCLUSIONS: The mothers explain their children diseases articulating religious, magic, and natural (hot, cold, humidity causes. The main challenge of the primary healthcare delivery process is to overcome the

  5. Working Mothers

    Science.gov (United States)

    ... may even feel jealous of the time your child spends with the caregiver. These are all normal feelings. Be aware of ... misgivings you may feel about working. Having quality child care and a good relationship with the caregiver also can ease some of the worry. Parents ...

  6. Efeitos do Método Mãe Canguru nos sinais vitais de recém-nascidos pré-termo de baixo peso Effects of Kangaroo Mother Care on the vital signs of low-weight preterm newborns

    Directory of Open Access Journals (Sweden)

    CM Almeida

    2007-02-01

    Full Text Available OBJETIVO: Avaliar as freqüências cardíaca e respiratória, a pressão arterial média, a temperatura e a saturação periférica de oxigênio dos recém-nascidos pré-termo (RNPT de baixo peso, antes e após a aplicação do MMC. MÉTODOS: Foram avaliados 22 RNPT de baixo peso, saudáveis, de ambos os sexos, não portadores de deficiências neurológicas, cardíacas e/ou respiratórias. A avaliação foi realizada após trinta minutos de permanência do RNPT em berço comum e após trinta minutos de aplicação do MMC, por 3 dias consecutivos. Para a avaliação, foram utilizados monitor cardíaco com dispositivo para medida da pressão arterial média de forma não invasiva e sensor para a oximetria de pulso, termômetro e cronômetro. RESULTADOS: Os resultados não mostraram alterações significativas quanto à pressão arterial média (p> 0,05 e freqüência cardíaca (p> 0,05 após a aplicação do MMC, mas, por outro lado, houve aumento significativo da temperatura axilar (pOBJECTIVE: The aim of this study was to evaluate the heart and respiration rates, mean arterial pressure, temperature and peripheral oxygen saturation of low-weight preterm newborns, before and after the application of kangaroo mother care. METHOD: Twenty-two healthy low-weight preterm newborns of both sexes were studied. None of them had neurological, cardiac and/or respiratory deficiencies. Assessments were made after the newborn had been left in an ordinary cot for 30 minutes and after 30 minutes of kangaroo mother care, on three consecutive days. For these evaluations, a heart monitor with a device for non-invasively measuring mean arterial pressure, a sensor for pulse oximetry, a thermometer and a chronometer were utilized. RESULTS: There were no significant changes in mean arterial pressure (p> 0.05 or heart rate (p> 0.05 after applying kangaroo mother care. However, there were significant increases in axillary temperature (p< 0.05 and peripheral oxygen

  7. 1型糖尿病患儿母亲照顾需求的质性研究%Qualitative Research on Family Care Needs of Type 1 Diabetes Child's Mother

    Institute of Scientific and Technical Information of China (English)

    戴燕铃; 金爽; 林娟

    2012-01-01

    Objective To describe family care needs among mothers of children with type 1 diabetes. Methods As the main caregivers, ten mothers of children with type 1 diabetes mellitus were participated in half-structured interview regarding their experience of caregiving and family care needs. The collected data were analyzed by Colaizzi' s method of phenomenological analysis. Results Five themes were found including the need of disease information, personal health, family support, social support and financial support. Conclusion As the main caregivers of children with type 1 diabetes mellitus, mothers report an intensive and broad range of family care needs. It is important to provide individual type 1 diabetic education and care suggestions for main caregivers and help them access to more intensive social support.%目的 探讨1 型糖尿病患儿母亲居家照顾的需求,为护理人员制定满足患儿母亲照顾需求、促进其身心健康的护理措施提供依据.方法 采用质性研究中现象学的方法,对10 名学龄期1 型糖尿病患儿母亲进行半结构式的访谈,并用Colaizzi分析法进行资料分析.结果 本研究中,1 型糖尿病患儿母亲的照顾需求归纳为5 个主题:疾病信息需求;个人健康需求;家庭支持需求;社会支持需求;经济支持需求.结论 作为主要照顾者,1 型糖尿病患儿母亲在访谈中表达了强烈而广泛的照顾需求.护理人员应重视对1 型糖尿病患儿主要照顾者的需求评估,帮助其获得更多的正式和非正式的社会支持,并有针对性地提供居家护理的指导和咨询.

  8. Lone mothers in Sweden

    DEFF Research Database (Denmark)

    Burström, B; Diderichsen, Finn; Shouls, S;

    1999-01-01

    To study trends in the health and socioeconomic circumstances of lone mothers in Sweden over the years 1979-1995, and to make comparisons with couple mothers over the same period.......To study trends in the health and socioeconomic circumstances of lone mothers in Sweden over the years 1979-1995, and to make comparisons with couple mothers over the same period....

  9. Suicidal mothers

    Directory of Open Access Journals (Sweden)

    Salvatore Gentile

    2011-07-01

    Full Text Available Background: Epidemiological research has demonstrated that suicidal ideation is a relatively frequent complication of pregnancy in both developed and developing countries. Hence, the aims of this study are: to assess whether or not pregnancy may be considered a period highly susceptible to suicidal acts; to recognize potential contributing factors to suicidal behaviors; to describe therepercussions of suicide attempts on maternal, fetal, and neonatal outcome; to identify a typical profile of women at high risk of suicide during pregnancy.Methods: Medical literature information published in any language since 1950 was identified using MEDLINE/PubMed, Scopus, and Google Scholar databases. Search terms were: “pregnancy”,(antenatal “depression”, “suicide”. Searches were last updated on 28 September 2010. Forty-six articles assessing the suicidal risk during pregnancy and obstetrical outcome of pregnancies complicated by suicide attempts were analyzed, without methodological limitations.Results: Worldwide, frequency of suicidal attempts and the rate of death by suicidal acts are low. Although this clinical event is rare, the consequences of a suicidal attempt are medically andpsychologically devastating for the mother-infant pair. We also found that common behaviors exist in women at high risk for suicide during pregnancy. Review data indeed suggest that a characteristicprofile can prenatally identify those at highest risk for gestational suicide attempts.Conclusions: Social and health organizations should make all possible efforts to identify women at high suicidal risk, in order to establish specific programs to prevent this tragic event. The available data informs health policy makers with a typical profile to screen women at high risk ofsuicide during pregnancy. Those women who have a current or past history of psychiatric disorders,are young, unmarried, unemployed, have incurred an unplanned pregnancy (eventually terminated with an

  10. Guidelines for Crisis Management.

    Science.gov (United States)

    Wimberley, Lloyd

    1985-01-01

    The article offers guidelines for crisis prediction, preplanning, support team development, and post-crisis management that can handle aggressive behavior and convey to the child the existence of a legitimate system for enhancing positive self control. (CL)

  11. Psychosocial Characteristics and Correlates of Symptom Distress in Nonoffending Mothers of Sexually Abused Children.

    Science.gov (United States)

    Deblinger, Esther; And Others

    1993-01-01

    Nonoffending mothers' (n=99) self-reported symptom distress was measured across 3 groups of sexual abuse types: incest, relative, and nonrelative. A multiple regression analysis of psychosocial characteristics indicated that a mother's perceived aloneness in facing the crisis and a personal history of adult sexual assault were positively related…

  12. Integration of prevention of mother-to-child transmission of HIV (PMTCT postpartum services with other HIV care and treatment services within the maternal and child health setting in Zimbabwe, 2012.

    Directory of Open Access Journals (Sweden)

    Katherine Wiegert

    Full Text Available We assessed the integration of PMTCT services during the postpartum period including early infant diagnosis of HIV (EID and adult and pediatric antiretroviral therapy (ART in maternal and child health (MCH facilities in Zimbabwe.From August to December 2012 we conducted a cross-sectional survey of a nationally representative sample of 151 MCH facilities. A questionnaire was used to survey each site about staff training, dried blood spot sample (DBS collection, turnaround time (TAT for test results, PMTCT services, and HIV care and treatment linkages for HIV-infected mothers and children and HIV-exposed infants. Descriptive analyses were used. Of the facilities surveyed, all facilities were trained on DBS collection and 92% responded. Approximately, 99% of responding facilities reported providing DBS collection and a basic HIV-exposed infant service package including EID, extended nevirapine prophylaxis, and use of cotrimoxazole. DBS collection was integrated with immunisations at 83% of facilities, CD4 testing with point-of-care machines was available at 37% of facilities, and ART for both mothers and children was provided at 27% of facilities. More than 80% of facilities reported that DBS test results take >4 weeks to return; TAT did not have a direct association with any specific type of transport, distance to the lab, or intermediate stops for data to travel.Zimbabwe has successfully scaled up and integrated the national EID and PMTCT programs into the existing MCH setting. The long TAT of infant DBS test results and the lack of integrated ART programs in the MCH setting could reduce effectiveness of the national PMTCT and ART programs. Addressing these important gaps will support successful implementation of the 2014 Zimbabwe's PMTCT guidelines under which all HIV-infected pregnant and breastfeeding women will be offered life-long ART and decentralized ART care.

  13. Social class, anxieties and mothers' foodwork.

    Science.gov (United States)

    Wright, Jan; Maher, JaneMaree; Tanner, Claire

    2015-03-01

    In the context of concerns about childhood obesity, mothers are placed at the forefront of responsibility for shaping the eating behaviour and consequently the health of their young children. This is evident in a multitude of diverse sites such as government reports, health promotion materials, reality TV shows and the advice of childcare nurses and preschools. These sites produce a range of resources available to mothers to draw on to constitute themselves as mothers in terms of caring for their children's health. Drawing on a qualitative study of mothers recruited through three Australian preschool centres, this article examines how the working-class and middle-class mothers of preschool-aged children engage with knowledge about motherhood, children and health and how those engagements impact on their mothering, their foodwork and their children. We argue that, unlike the working-class mothers pathologised in some literature on obesity, these working-class mothers demonstrated a no-nonsense (but still responsibilised) approach to feeding their children. The middle-class mothers, on the other hand, were more likely to engage in practices of self-surveillance and to demonstrate considerable anxieties about the appropriateness of their practices for their children's current and future health. PMID:25677342

  14. [(Lack of) motivation of the puerperal mother to practice the Kangaroo Mother Method].

    Science.gov (United States)

    Guimarães, Gisele Perin; Monticelli, Marisa

    2007-03-01

    This article aims at describing the context of the development of the Mother-Kangaroo Method at the Neonatal Intensive Care Unit of a public hospital, and discussing the reasons why some women/mothers do not seem stimulated to maintain skin contact with their premature babies. The methodology included three steps: reality problematization, literature review, and systematic reflection aiming at solving the identified problem. It was concluded that the perception of the neonatal team as to mother-newly born infant bond needs to be changed, in the sense of understanding that often the mothers' reaction are different from those expected by the health professionals. PMID:17658053

  15. Crisis Management: Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.; Dorman, Sally; Anderson, Luke; McNair, Daniel

    2013-01-01

    This article presents summaries of three studies relevant to school crisis response. The first report, "A Framework for International Crisis Intervention" (Sally Dorman), is a review of how existing crisis intervention models (including the NASP PREPaRE model) have been adapted for international use. The second article, "Responding…

  16. Crisis Communication Online

    DEFF Research Database (Denmark)

    Utz, Sonja; Schultz, Friederike; Glocka, Sandra

    2013-01-01

    developed “networked crisis communication model” we contrast effects of medium (Facebook vs. Twitter vs. online newspaper) and crisis type (intentional vs. victim) in an online experiment. Using the Fukushima Daiichi nuclear disaster as crisis scenario, we show that medium effects are stronger than...

  17. Neither father nor biological mother

    DEFF Research Database (Denmark)

    Dahl, Bente; Malterud, Kirsti

    2015-01-01

    Objective: To explore lesbian co-mothers’ maternity care experiences and their implications for the caringencounter. Methods: A qualitative interview study with data from a convenience sample of eleven Norwegiancomothers was conducted. Systematic text condensation was used for data analysis......-mother” wasperceived as a bureaucratic concept. Conclusion: For lesbian co-mothers, being recognized in maternity care implies that they are valued forthe qualities that separate them from other user groups on a personal level. On a societal level, beingrecognized is related to acknowledgement of inventive ways...... of doing family. Everyday signs of recognitionmay prevent moral violation, and by paying particular attention to use of language, staff can helpco-mothers feel acknowledged....

  18. Práticas populares de mães adolescentes no cuidado aos filhos Prácticas populares de madres adolescentes en el cuidado a los hijos General practice of teenage mothers caring for their children

    Directory of Open Access Journals (Sweden)

    Keli Regiane Tomeleri

    2009-06-01

    N: Los profesionales de salud precisan conocer las creencias y prácticas de las madres adolescentes para entonces planificar, de la mejor forma posible, la asistencia a ser prestada al binomio madre-hijo.OBJECTIVE: To identify and describe popular practices of teenage mothers caring for their children during the first six month after birth. METHODS: A qualitative approach was used with six teenage mothers from the city of Cambé, PR. Data were collected through semi-structured interviews from February to April 2007. Interviews were conducted in the participants' home in four different times (one week, one month, four months, and six months after the birth. RESULTS: Findings suggested that teenage mothers use popular practices that were part of their family and community culture when caring for their children. These popular practices included cross breast-feeding, teas, syrups, and blessing's plays to treat adverse events, and popular beliefs regarding the umbilical stump, hiccups, and sleeping pattern. CONCLUSION: Health professionals must be aware of practices and beliefs of teenage mothers in order to plan quality care to the mother-child binomial.

  19. Listening to Hispanic mothers: guidelines for teaching.

    Science.gov (United States)

    Wilson, A H; Robledo, L

    1999-01-01

    Teaching Hispanic mothers in a culturally sensitive way to care for their children is a challenge to pediatric nurses. Pediatric nurses must be familiar with customs and the folk medicine practiced by Hispanic mothers. It is very important that the pediatric nurse listens to the voices of Hispanic mothers to determine their health practices, and those that may have been used in their children. Familiarity with folk medicine and health practices will facilitate an appropriate treatment plan and will help to determine whether the mothers' practices are dangerous or beneficial for the child. Pediatric nurses should assess for concurrent use of home remedies and conventional medications to determine if there are any known interactive effects. Finally, increasing the number of pediatric nurses who are fluent in Spanish will enable the voices of Hispanic mothers to be better heard, which in turn, will improve the health status of Hispanic children.

  20. Macro shocks and micro outcomes: child nutrition during Indonesia's crisis.

    Science.gov (United States)

    Block, Steven A; Kiess, Lynnda; Webb, Patrick; Kosen, Soewarta; Moench-Pfanner, Regina; Bloem, Martin W; Timmer, C Peter

    2004-03-01

    A survey of households in rural Java is used to assess the nutritional impact of Indonesia's drought and financial crisis of 1997/1998. A time-age-cohort decomposition reveals significant nutritional impacts. However, child weight-for-age (WAZ) remained constant throughout the crisis, despite rapid increases in food prices and the consequent household consumption shock. The evidence is consistent with the hypothesis that within households, mothers buffered children's caloric intake, resulting in increased maternal wasting. However, reductions in the consumption of high-quality foods further resulted in increased prevalence of anemia for both mothers and children. The combined effects were particularly severe for cohorts conceived and weaned during the crisis.

  1. L’Italia: una crisi nella crisi

    Directory of Open Access Journals (Sweden)

    Carlo D'ippoliti

    2011-10-01

    Full Text Available The article synthesises the large and extending literature on the financial and economic crisis from a Post-Keynesian point of view. The authors take on the position that the international and internal real imbalances are serious and worrying, but yet they are not the cause of the crisis or of its tremendous dimension. The flawed and insufficient regulation of finance is the prime cause of the crisis, as well as it is one of the main hindrances to expansionary macroeconomic policies that may less painfully drive developed countries out of the crisis. It then examines the most recent developments in the euro-area, claiming that we are not facing a sovereign debt crisis but rather a speculative attack on the euro. Finally, the article considers specifically the situation of Italy, currently at the hearth of such an attack, and suggests that the country was already facing critical developments before the 2007/2008 crisis. Thus, the policy measures so far suggested to exit the current stressful situation, in so far as they ignore this fact, seriously run the risk of proving insufficient or altogether noxious.  JEL Codes: B50; E12; G01Keywords: crisis, euro, sovereign, Italy, credit default swaps

  2. [Crisis and nurses].

    Science.gov (United States)

    Martínez Riera, José Ramón

    2012-02-01

    Nobody can escape that we are in crisis. Already are responsible every day media, risk agencies and abstract but crucial markets reminded us. In this crisis, deep, prolonged and distressing health systems have been in the spotlight of national Governments and corporations, as key elements of building and resolution of the crisis. Generation because it interprets its inefficiency is responsible for much of the crisis. Resolution because it is understood that actions that envelope the same are carried out they shall foster the output. So then we have two key elements: crisis and health systems, which combine very differently but which inevitably and unfortunately have been associated on a permanent basis. To understand this symbiosis and try to analyze it I operate the simple formula of semantically understanding what is crisis and what health crisis.

  3. Research progress on kangaroo mother care in nursing of preterm infants%袋鼠式护理在早产儿护理中的研究进展

    Institute of Scientific and Technical Information of China (English)

    田莉; 丁晓华; 武玉蓉

    2011-01-01

    With the development of perinatology and neonatology,the survival rate of preterm infants was improved a lot,the preterm infants become one of the important study in nowdays.there have been many studies about nursing of preterm infants,This article summarizes research progress on kangaroo mother care in nursing of preterm infants.%随着围产医学和新生儿医学的迅速发展,早产儿的存活率得到极大提高,早产儿成为当今研究的重要内容之一.有关早产儿护理干预的研究也很多,现就袋鼠式护理在早产儿护理中的研究进展综述如下.

  4. Mother's educational level and single motherhood: Comparing Spain and Italy

    Directory of Open Access Journals (Sweden)

    Anna Garriga

    2015-12-01

    Full Text Available Background: During the second half of the 20th century there was a positive relationship between single parenthood and the mother's educational level in Spain and Italy. Objective: However, several important transformations contemplated by Goode (1993 and McLanahan (2004 suggest that this relationship may have been inverted in Spain but perhaps not in Italy. The purpose of our study is to test this hypothesis. Methods: We use EU_SILC data from waves 2005 and 2011 and logistic regressions. Results: We found the relationship between the mother's educational level and being a single mother is negative in Spain, while it is not significant in Italy. However, we found that for Italian mothers aged 40 and younger and mothers from northwest Italy, this relationship is also negative. By contrast, for older mothers and mothers from the islands or southern Italy, this association is positive. Meanwhile, for mothers from the central and northeast regions, the relationship between educational level and single motherhood is not significant. Conclusions: These results show how Spain and some parts of Italian society are moving towards family models similar to those in the Northern European countries. As Sara McLanahan (2004 noted for the United States, this social transformation in Southern Europe cannot be considered without recognizing the potential negative consequence for future generations. The single-mother households dealing with the economic crisis that started in 2008 have lower socioeconomic backgrounds than the single mothers who suffered through previous crises, and therefore the consequences of this crisis for children in single-parent families might be even more negative, especially in Spain.

  5. Clinic-Referred Mothers' Autobiographical Narratives as Markers of Their Parenting Styles

    Science.gov (United States)

    Rowinski, Katherine S.; Wahler, Robert G.

    2010-01-01

    Forty clinic-referred mothers completed questionnaires describing their children's problems and the mothers' parenting styles. In addition, each mother told three stories about their personal experiences in child care and one story about being cared for in their families of origin. Each story was transcribed and rated for coherence on six…

  6. An alternative perspective on how laboratory medicine can contribute to solve the health care crisis: a model to save costs by acquiring excellence in diagnostic systems.

    Science.gov (United States)

    Mussap, Michele

    2014-01-01

    The rapid escalation in health care costs has led to the idea to deliver better care at lower costs, reshaping the responsibilities of the health care system to achieve the goal of creating value for the patient. The pressure for fiscal containment and the progressive reduction in available health care resources originated very short term strategies consisting of abrupt reductions in expenditure, specifically in the provision of clinical pathology laboratory medicine services. However, the impact of laboratory test results on diagnostic and therapeutic interventions has increased enormously in the past decade, due to advances in personalized medicine and to the strictly correlated requirement to use new biomarkers with increasing sensitivity and specificity in clinical practice. In order to create savings by delivering better care there is the need to invest financial resources in purchasing high technology and new sophisticated tests and to promote the expertise of clinical pathologists and laboratory medicine professionals. This approach to creating value in patient health care is more productive and sustainable ethically, morally and economically as a long-term strategy. It can be successfully achieved by applying defined rules that make public-private cooperation clearer, skipping incompatible solutions such as transforming clinical laboratories to 'industrially productive premises', outsourcing laboratory medicine services and using central acquisition of diagnostic systems.

  7. Application of 4R-model crisis management theory in skin care of patients in ICU%4R危机管理理论在ICU患者皮肤保护中的应用效果

    Institute of Scientific and Technical Information of China (English)

    张雪娇

    2016-01-01

    Objective To explore the application of 4R-model crisis management theory in skin care of patients in ICU.Methods A total of 800 patients in ICU of our hospital between January and December 201 3 were included as control group received routine skin care.A total of 850 patients in ICU of our hospital between January and December 201 4 were included in observation group and given skin care based on 4R-model crisis management theory. The incidence of pressure ulcers, skin damage, eczema, scald, frostbite and the improvement of pressure ulcers were record and compared in two groups.Results The incidence of skin problems in the observation group was significantly lower than that in the control group.The difference between two groups was statistically significant (P <0.05).The score of nursing quality in the observation group was higher than that in the control group.The difference between two groups was statistically significant (P <0.05).Conclusions The application of 4R-model crisis management theory can effectively prevent the occurrence of skin complications of patients in ICU,and provide a scientific,continuous and effective management for skin care of patients in ICU.%目的:探讨4R 危机管理理论在 ICU 患者皮肤保护中的应用效果。方法以2013年1—12月哈尔滨医科大学第一附属医院 ICU 收治的800例患者为对照组,以常规皮肤护理方法护理;以2014年1—12月我院 ICU 收治的850例患者为观察组,对患者采用4R 危机管理理论进行皮肤护理管理。护理期间记录并比较两组压疮、皮肤破损、湿疹、冻(烫)伤发生率和院外压疮好转情况。结果观察组皮肤问题发生率明显低于对照组,两组比较差异有统计学意义(P <0.05);观察组护理工作质量评分均优于对照组,两组比较差异有统计学意义(P <0.05)。结论4R 危机管理理论可有效预防 ICU 患者皮肤相关并发症的发生,为 ICU 患者皮肤管

  8. Analysis on health care situation of 161 infants born by HIV-infected mothers%161例艾滋病病毒感染孕产妇所生婴儿保健状况分析

    Institute of Scientific and Technical Information of China (English)

    陈起燕; 黄欣欣; 林珠妹

    2015-01-01

    Objective:To understand HlV infection and health care situation among the infants by HIV-infected mothers in Fujian province,provide a basis for preventing mother-to-child transmission of AIDS.Methods:The infants born by the mothers with positive HIV antibody in Fujian province were analyzed,a case-control study was conducted among 47 infants receiving HIV antibody test.Resuits:Among the infants born by 161 mothers with positive HIV antibody,20 infants were lost to follow-up,14 infants died,128 infants were alive (including twin).Among 128 alive infants,17 infants voluntarily received HIV antibody examination and confirmation experiment,the detection rate was 36.72%.Twelve infants were found with positive HIV antibody,after intervention,HIV antibody among five infants changed to negative,the other seven infants were still found with positive HIV antibody until 18 months after birth,accounting for 14.89%.Delivery modes were influencing factors of positive HIV among the infants,the risk of positive HIV among the infants born by cesarean section was 1/10 of that by vaginal delivery.Conclusion:Strengthening health education and adopting comprehensive intervention measures to prevent mother-to-child transmission of AIDS are important premise for implementation of health care among HIV-infected infants.%目的:了解福建省艾滋病病毒(HIV)感染孕产妇分娩的婴儿HIV感染与保健状况,为预防艾滋病母婴传播工作提供依据.方法:对福建省艾滋病抗体阳性孕产妇所生婴儿状况进行分析,对47例进行抗体检测的婴儿行病例对照研究.结果:161例HIV阳性孕妇所生的婴儿中失访20例,死亡14例,存活128例(其中双胞胎1例).存活的128例婴儿中自愿接受HIV抗体检测并确认实验的有47例,检测率36.72%.12例婴儿HIV抗体检测结果为阳性,实施干预后其中5例婴儿HIV抗体检测结果由阳性转变为阴性,7例婴儿至生后18个月HIV抗体检

  9. The application of the core-health education of the VIP maternity mother-baby care%核心式健康教育在VIP产科母婴护理中的应用

    Institute of Scientific and Technical Information of China (English)

    朱艳侠

    2012-01-01

    Objective: To explore the most effective nursing method of the VIP maternity mother-baby care. Methods: One hundred and sixteen expectant mothers were randomly divided into the control group(55 cases) and the study group(61 cases). The control group were nursed with clinical nursing pathway, which education objects were expectant mothers and their relatives. The study group were nursed with the same pathway, which education objects were expectant mothers, relatives and Yuesao, and one of them was the core of health education by focusing education and guidance. Results:The health knowledge of expectant mothers and core caregivers and the compliance of expectant mothers and core and non-core caregivers were remarkably higher than those of the control group (P <0. 01) . Conclusions: Core health education can improve the knowledge levels and the compliance of nurses, promote the quality of nursing maternal and child and decrease the conflict of the different opinions and experinces of breeding, which can promote the establishment of relationship between parents and children and family harmony.%目的:探讨VIP产科母婴护理行之有效的健康教育方法.方法:对VIP产科产妇116例,随机分为观察组61例和对照组55例.对照组按健康教育路径实施,健康教育对象是产妇及家属;观察组同样按健康教育路径实施,健康教育对象是产妇、家属及月嫂,并根据产妇家庭情况,指定一位相对固定的母婴护理照护者(月嫂、爱人、妈妈或婆婆),作为健康教育对象的核心,进行重点宣教和指导.结果:观察组核心照护者和产妇健康知识掌握情况及核心照护者、产妇及非核心照护者健康知识依从性均明显高于对照组(P<0.01).结论:核心式健康教育在家庭产房中能明显提高健康教育知识的掌握程度及健康教育知识的依从性,从而有效促进母婴护理家庭照护质量,减少了家庭成员间因养育理念和经验不同所导致的

  10. Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms

    Science.gov (United States)

    Chebbi, Hela; Pündrich, Aline Pereira

    2015-01-01

    Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…

  11. Contemporary impingements on mothering.

    Science.gov (United States)

    Tummala-Narra, Pratyusha

    2009-03-01

    Mothering in contemporary Western society needs to be understood in the context of a rapidly changing social context. Increased geographic mobility, improved access to child-related information through the media, and scientific and technological progress have contributed to significant shifts in cultural views on mothering. Several contextual impingements on mothering, including changing family structure, economic pressures, decreased social support, cultural ideals of the perfect mother, and increased awareness of interpersonal and global trauma impact mothers' internal worlds. These societal changes often reinforce mothers' fear of losing their children and an idealization of intensive mothering, and evoke challenges in reorganizing their sense of personal identity. Implications for psychoanalytic theory and practice, and specifically the need to integrate individual and contextual forces related to experiences of mothers will be explored. PMID:19295618

  12. Mãe adolescente vivenciando o cuidado do filho: um modelo teórico Madre adolescente y la experiencia de cuidar del hijo: un modelo teórico Adolescent mother experiencing child care: a theoretic model

    Directory of Open Access Journals (Sweden)

    Paula Rosemberg de Andrade

    2006-02-01

    Full Text Available Este estudo objetivou compreender o significado que tem, para a mãe adolescente, vivenciar o cuidado de seu filho. Participaram do mesmo, oito mães adolescentes entre 15 e 19 anos de idade. As estratégias utilizadas para a coleta de dados foram: a observação participante e a entrevista semi-estruturada. O Interacionismo Simbólico foi usado como referencial teórico e a Teoria Fundamentada nos Dados como referencial metodológico. A análise comparativa dos dados permitiu construir o modelo teórico Superando dificuldades impulsionada pela força do amor revelando que a experiência de cuidar do filho para a mãe adolescente é impulsionada pela vivência de sentimentos que fazem com que desenvolva estratégias de ação e interação, buscando recursos para cuidar de seu filho da melhor maneira possível.Este estudio tiene por objeto comprender el significado que tiene para la madre adolescente vivenciar el cuidado de su hijo. Participaron del mismo, ocho madres adolescentes entre 15 y 19 años de edad. Las estrategias utilizadas para la recolección de datos fueron: la observación participante y la entrevista semi-estructurada. El Interacionismo Simbólico fue usado como referencial teórico y la Teoría fue Fundamentada en los Datos como referencial metodológica. El análisis comparativo de los datos permitió construir el modelo teórico Superando dificultades impulsada por la fuerza del amor revelando que, para la madre adolescente la experiencia de cuidar del hijo es impulsada por la vivencia de sentimientos que hacen con que desarrolle estrategias de acción e interacción buscando recursos para cuidar de su hijo de la mejor manera posible.The study aimed to comprehend the meaning for the adolescent mother of experiencing care with her child and the construction of a theoretic model that is representative of this experience. The strategies employed were participant observations and a semi-structured interview. Eight adolescent

  13. Casualties of the Global War on Terror and their future impact on health care and society: a looming public health crisis.

    Science.gov (United States)

    Baker, Michael S

    2014-04-01

    This article is a primer to understand the medical advances and the future health care consequences of the current conflicts in the Middle East and Southwest Asia, known as the Global War on Terror. There have been significant advances in health care learned in caring for those injured by the conflict--often a polytrauma blast victim, but there are also very high incidence rates of the hidden injuries of war--traumatic brain injury, post-traumatic stress disorder, suicide, and depression. These lead to disruptive behaviors, homelessness, and family violence. Global War on Terror returnees are using medical services and applying for disability at higher rates than in previous conflicts. The costs for veterans' care may peak 30 to 40 years or longer following the conflict, and will inflict an enormous burden on services and resources. The effects of the war will linger for years and impact across generations because of the stress on families and children. We must mobilize government agencies, create public-private partnerships, and invest our resources now to mitigate the approaching tsunami of veterans' health care needs, the impact on our social services, and the devastating costs to society. PMID:24690957

  14. Casualties of the Global War on Terror and their future impact on health care and society: a looming public health crisis.

    Science.gov (United States)

    Baker, Michael S

    2014-04-01

    This article is a primer to understand the medical advances and the future health care consequences of the current conflicts in the Middle East and Southwest Asia, known as the Global War on Terror. There have been significant advances in health care learned in caring for those injured by the conflict--often a polytrauma blast victim, but there are also very high incidence rates of the hidden injuries of war--traumatic brain injury, post-traumatic stress disorder, suicide, and depression. These lead to disruptive behaviors, homelessness, and family violence. Global War on Terror returnees are using medical services and applying for disability at higher rates than in previous conflicts. The costs for veterans' care may peak 30 to 40 years or longer following the conflict, and will inflict an enormous burden on services and resources. The effects of the war will linger for years and impact across generations because of the stress on families and children. We must mobilize government agencies, create public-private partnerships, and invest our resources now to mitigate the approaching tsunami of veterans' health care needs, the impact on our social services, and the devastating costs to society.

  15. Volunteerism: 'community mothers' in action.

    Science.gov (United States)

    Downie, Jill; Clark, Kim; Clemenston, Katy

    Volunteers represent a growing, but often undervalued, section of service delivery in many areas in the community, particularly in health care. This paper is centred on volunteers' perceptions and experiences of home visiting gained through the implementation of the Community Mothers (CM) program in Western Australia (WA). Further, the paper aims to inform debate about the issue of professional versus non-professional home visitors and offers a perspective on the issue that may provide direction for policy makers and practitioners. This qualitative study involved individual telephone interviews with a volunteer sample of 12 participants, purposefully selected. Transcription data from each interview were examined and coded utilising an adapted method of content analysis described by Burnard (1991). Three main themes emerged in the findings as to why volunteers became involved in the Community Mothers Program: (1) Empathetic concern; (2) Contribution to community life; and (3) Lifecourse issues and personal development. With experiences of volunteers in home visiting, four main themes reflected the participants' views: (1) Facilitating client empowerment; (2) Facilitating personal empowerment; (3) Promoting social connectedness; and (4) Enabling goal setting. Although programs such as the Community Mothers Program aim to benefit and support mothers in the parenting role it is clear that there are benefits that emerge also for the individual volunteer, such as increased self-esteem, self-efficacy and satisfaction. Hence, measuring the overall outcomes that result from such program remains a major challenge. PMID:15729811

  16. The Power of Mothers

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    MOTHERS always give so much to their children. Regardless of how rich or poor they may be, or whether they are highly educated or not, all mothers guide their children by their own words and actions. Here, six famous figures share their thoughts on the power of mothers.

  17. Managed care and economic dynamics.

    Science.gov (United States)

    Riggs, J E

    1996-09-01

    Over the past several decades, health care delivery in the United States evolved in an environment lacking marketplace constraints. The unforeseen result was the current health care crisis--uncontrolled costs, shrinking access, and redundant technological capabilities. Managed care is a strategy to impose fiscal constraints on health care delivery. A diagrammatic analysis of the economic dynamics between consumers and producers in an open marketplace is compared with that of patients, providers, and payers under the health care scheme that produced the health care crisis and under managed care. Patient demands, expectations, and needs for health care are not subject to fiscal constraint under managed care since the dislinkage between consumer and payer still exits. Managed care does not impose true open marketplace fiscal constraints on health care delivery. Furthermore, any solution to the US health care crisis that used true marketplace fiscal constraints would necessitate fundamental changes in societal values concerning individual rights to health care.

  18. [Intraoperative crisis and surgical Apgar score].

    Science.gov (United States)

    Oshiro, Masakatsu; Sugahara, Kazuhiro

    2014-03-01

    Intraoperative crisis is an inevitable event to anesthesiologists. The crisis requires effective and coordinated management once it happened but it is difficult to manage the crises properly under extreme stressful situation. Recently, it is reported that the use of surgical crisis checklists is associated with significant improvement in the management of operating-room crises in a high-fidelity simulation study. Careful preoperative evaluation, proper intraoperative management and using intraoperative crisis checklists will be needed for safer perioperative care in the future. Postoperative complication is a serious public health problem. It reduces the quality of life of patients and raises medical cost. Careful management of surgical patients is required according to their postoperative condition for preventing postoperative complications. A 10-point surgical Apgar score, calculated from intraoperative estimated blood loss, lowest mean arterial pressure, and lowest heart rate, is a simple and available scoring system for predicting postoperative complications. It undoubtedly predicts higher than average risk of postoperative complications and death within 30 days of surgery. Surgical Apgar score is a bridge between proper intraoperative and postoperative care. Anesthesiologists should make effort to reduce the postoperative complication and this score is a tool for it.

  19. Does formal 0-3 years old child care availability boost employment rate of mothers ? Panel data based evidence from Belgium

    OpenAIRE

    Dujardin, Claire; Fonder, Muriel; Lejeune, Bernard

    2016-01-01

    In 2003, a new multi-annual program aimed at increasing the availability of formal child care for 0-3 year old children was launched in Wallonia, the French-speaking part of Belgium. This paper is interested in evaluating if this increased availability of formal child care resultedin a higher employment rate for women with at least one child under 3. To this end, we use a difference-in-differences approach based on municipality-level panel data, taking advantage of the fact that the increase ...

  20. Welfare and labour-force participation of kinship foster mothers

    OpenAIRE

    Holtan, Amy; Thørnblad, Renee

    2009-01-01

    Objective: Kinship foster care has become the placement of choice in the Western world. This article explores the welfare, labour-force participation, and caregiving role of kinship foster mothers in Norway. Method: The study supplements a quantitative study of Norwegian long-term kinship and nonkinship foster care with a qualitative study of parenting in formal kinship foster care. A total of 123 kinship and 88 nonkinship foster mothers participated in the quantitative study. The qualitat...

  1. Interação mãe-bebê pré-termo e mudança no estado de humor: comparação do Método Mãe-Canguru com visita na Unidade de Terapia Intensiva Neonatal Interaction between mothers and pre-term infants and mood changes: a comparison between the Kangaroo Mother Method and those observed on a visit to a Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Fernando Guimarães Cruvinel

    2007-12-01

    Full Text Available OBJETIVO: avaliar mudanças nos estados de humor de mães de bebês pré-termo em função do tipo de contato com o seu filho: Método Mãe-Canguru (MMC e visita ao filho na incubadora da Unidade de Terapia Intensiva Neonatal. MÉTODOS: foi aplicada a Escala Analógica de Humor em 60 mães divididas em 2 grupos: mães que participam do Método Mãe-Canguru (GC e mães que acompanharam o bebê na incubadora (GI. Os grupos foram pareados em função da idade das mães, número de gestações e tipo de parto. As mães foram avaliadas antes e depois de uma das visitas ao filho na incubadora ou sessão de MMC. RESULTADOS: as mães do GC melhoraram o humor, relatando: sentirem-se mais calmas, fortes, com idéias claras, ágeis, dinâmicas, satisfeitas, tranqüilas, perspicazes, relaxadas, atentas, competentes, alegres e amistosas. As mães do GI não apresentaram melhora no estado de humor em nenhum item, mas pioraram no item "sentindo-se desajeitada". CONCLUSÕES: o Método Mãe-Canguru mostrou-se eficaz na melhora nos estados de humor de mães de bebês pré-termo, contribuindo assim para a minimização dos efeitos negativos da internação neonatal.OBJECTIVE: to assess changes in the subjective state of mood of mothers of pre-term babies, comparing different kinds of mother-infant interaction: the Kangaroo Mother Method (KMM and those observed on a visit to a Neonatal Intensive Care Unit. METHODS: the Visual Analogue Mood Scale was used with 60 mothers divided into two groups: mothers included in the Kangaroo Program (KG and mothers with a baby on an incubator (IG. The groups were matched for the mothers' age, number of pregnancies and kind of delivery. The mothers were evaluated before and after a visit to the baby on an incubator or a KMM session. RESULTS: it was found that KG mothers were in a better mood, reporting that they felt calmer, stronger, more clear-headed, more agile, dynamic, satisfied, at ease, perceptive, relaxed, considerate

  2. Transition of Maternal Competency of Married and Single Mothers in Early Parenthood

    OpenAIRE

    Copeland, Debra Beach; Harbaugh, Bonnie Lee

    2004-01-01

    Women who perceive maternal competency in early parenthood feel comfortable with infant care. A convenience sample of 58 married, first-time mothers and 22 single, first-time mothers was surveyed at six to eight weeks after childbirth to determine the differences in maternal competence perception between married and single mothers. Findings in this pilot study reveal that single mothers significantly reported less comfort in the maternal role as compared to married mothers. Implications for p...

  3. Crisis Propagation and Governance

    OpenAIRE

    Ezzine, Hanene; Olivero, Bernard; Shabou, Ridha

    2009-01-01

    International audience Following the appearance of the recent scandals, the question of the efficiency of the corporate governance mechanisms to appease the financial crisis can be raised. The purpose of this paper is to study the impact of the board of directors effectiveness on the firm's ability to resist the Asian stock market crisis. The firm ability to resist the Asian stock market crisis is assessed by minimization of financial return's conditional volatility estimated by ARCH and G...

  4. Integrated crisis management exercises

    International Nuclear Information System (INIS)

    This paper describes some of the steps that Mobil has taken to enhance their crisis management capability and to improve their readiness. The approach stretches from the individual plant level to Mobil's Corporate offices in Fairfax, Virginia. Some of the lessons learned from several integrated crisis management exercises are outlined and some areas where additional industry co-operation in crisis management could pay dividends are suggested

  5. Partnering on a Curriculum To Address the Dental Care Crisis in a Rural Island Community: The First Step of a Career Ladder Program in Dental Assisting.

    Science.gov (United States)

    Pezzoli, J. A.; Johnson, Nancy

    This document describes the curriculum and objectives of the Certificate of Completion in Dental Assisting at Maui Community College, Hawaii. Hawaii is below the national average in oral health care, with as many as 40% of Maui residents being underserved. Dental disease among the uninsured and underinsured in Hawaii is three times the national…

  6. What service users with psychotic disorders want in a mental health crisis or relapse: thematic analysis of joint crisis plans

    OpenAIRE

    Farrelly, Simone; Brown, Gill; Rose, Diana; Doherty, Elizabeth, Anne; Henderson, R Claire; Birchwood, Max; Marshall, Max; Waheed, Waquas; Szmukler, George; Thornicroft, Graham

    2014-01-01

    Purpose Recent legislation and guidance in England emphasises the importance of service user choice in care planning. However, it is not obvious how best to facilitate choices in care planning, and some clinicians are concerned that service users may make ‘unwise’ decisions. This study aimed to examine mental health service users’ preferences and priorities in the event of a future mental health crisis or relapse. Method Thematic analysis of 221 joint crisis plans (JCP) developed by service u...

  7. Financial crisis, austerity, and health in Europe.

    Science.gov (United States)

    Karanikolos, Marina; Mladovsky, Philipa; Cylus, Jonathan; Thomson, Sarah; Basu, Sanjay; Stuckler, David; Mackenbach, Johan P; McKee, Martin

    2013-04-13

    The financial crisis in Europe has posed major threats and opportunities to health. We trace the origins of the economic crisis in Europe and the responses of governments, examine the effect on health systems, and review the effects of previous economic downturns on health to predict the likely consequences for the present. We then compare our predictions with available evidence for the effects of the crisis on health. Whereas immediate rises in suicides and falls in road traffic deaths were anticipated, other consequences, such as HIV outbreaks, were not, and are better understood as products of state retrenchment. Greece, Spain, and Portugal adopted strict fiscal austerity; their economies continue to recede and strain on their health-care systems is growing. Suicides and outbreaks of infectious diseases are becoming more common in these countries, and budget cuts have restricted access to health care. By contrast, Iceland rejected austerity through a popular vote, and the financial crisis seems to have had few or no discernible effects on health. Although there are many potentially confounding differences between countries, our analysis suggests that, although recessions pose risks to health, the interaction of fiscal austerity with economic shocks and weak social protection is what ultimately seems to escalate health and social crises in Europe. Policy decisions about how to respond to economic crises have pronounced and unintended effects on public health, yet public health voices have remained largely silent during the economic crisis.

  8. Financial crisis, austerity, and health in Europe.

    Science.gov (United States)

    Karanikolos, Marina; Mladovsky, Philipa; Cylus, Jonathan; Thomson, Sarah; Basu, Sanjay; Stuckler, David; Mackenbach, Johan P; McKee, Martin

    2013-04-13

    The financial crisis in Europe has posed major threats and opportunities to health. We trace the origins of the economic crisis in Europe and the responses of governments, examine the effect on health systems, and review the effects of previous economic downturns on health to predict the likely consequences for the present. We then compare our predictions with available evidence for the effects of the crisis on health. Whereas immediate rises in suicides and falls in road traffic deaths were anticipated, other consequences, such as HIV outbreaks, were not, and are better understood as products of state retrenchment. Greece, Spain, and Portugal adopted strict fiscal austerity; their economies continue to recede and strain on their health-care systems is growing. Suicides and outbreaks of infectious diseases are becoming more common in these countries, and budget cuts have restricted access to health care. By contrast, Iceland rejected austerity through a popular vote, and the financial crisis seems to have had few or no discernible effects on health. Although there are many potentially confounding differences between countries, our analysis suggests that, although recessions pose risks to health, the interaction of fiscal austerity with economic shocks and weak social protection is what ultimately seems to escalate health and social crises in Europe. Policy decisions about how to respond to economic crises have pronounced and unintended effects on public health, yet public health voices have remained largely silent during the economic crisis. PMID:23541059

  9. ECOLOGIC CRISIS AND ECONOMIC CRISIS. IS IT A COINCIDENCE?

    OpenAIRE

    Ştefania-Diana Ioniţă-Burda; Cristian Giuseppe Zaharie; Oana-Elena Mitran-Costache

    2011-01-01

    We constantly speak about the crisis, a phenomenon which characterizes both the individual and the society. The individual is always in a crisis of time,inspiration etc. In turn, society undergoes periods of ecologic, economic, financial,social, political crisis. From among crisis forms, two of them are particularly worth noticing: the ecologic crisis and the economic crisis. Could their coexistence be a mere coincidence or maybe …?

  10. Cuidados maternos a crianças de baixo peso ao nascer Cuidados maternos a niños con bajo peso al nacer Mothers' care to the low birth weight infant

    Directory of Open Access Journals (Sweden)

    Débora Falleiros de Mello

    2002-09-01

    Full Text Available Este estudo é descritivo exploratório e teve por objetivo caracterizar os relatos maternos sobre o cuidado à saúde de crianças de baixo peso ao nascer no primeiro e segundo ano de vida, através de entrevistas domiciliares com um grupo de onze mães de crianças procedentes de Ribeirão Preto - SR De modo geral, as mães apontam dificuldades no cuidado de amamentar o bebê, alimentação e uso de medicação, referem preocupações com as intercorrências, reinternações e desenvolvimento psicomotor, implicando na necessidade de suporte profissional para avaliar e acompanhar o processo de crescimento e desenvolvimento infantil no cotidiano das famílias.Este estudio es descriptivo exploratório y tuvo por objetivo caracterizar los relatos maternos sobre el cuidado a la salud de niños con bajo peso al nacer en el primero y segundo ano de vida, a través de entrevistas domiciliares con un grupo de once madres de niños procedentes de Ribeirão Preto - SR De modo general, las madres apuntan dificultades en el cuidado relacionados a la lactancia del bebé, alimentación y uso de medicación. Refieren preocupaciones con las intercurrencias, reinternaciones y desarrollo psicomotor, implicando en la necesidad de soporte profesional para evaluar y acompañar el proceso de crecimiento y desarrollo infantil en el cotidiano de las familias.This is an exploratory and descriptive study which aimed at characterizing mothers' accounts on the care given to the health of children with low weight at birth during their first and second years of life by means of home interviews with a group of eleven mothers of children from Ribeirão Preto - SR The mothers pointed to difficulties with breastfeeding, the babies' diet and medication use. They also referred to concerns about intercurrences, re-hospitalizations and psychomotor development, which results in the need for professional support in order to evaluate and follow the growth and development process of

  11. The role of home-based records in the establishment of a continuum of care for mothers, newborns, and children in Indonesia

    OpenAIRE

    Osaki, Keiko; Hattori, Tomoko; Kosen, Soewarta

    2013-01-01

    Background: The provision of appropriate care along the continuum of maternal, newborn, and child health (MNCH) service delivery is a challenge in developing countries. To improve this, in the 1990s, Indonesia introduced the maternal and child health (MCH) handbook, as an integrated form of parallel home-based records.Objective: This study aimed to identify the roles of home-based records both before and after childbirth, especially in provinces where the MCH handbook (MCHHB) was extensively ...

  12. The impact of the method Kangaroo Mother Care in the learning process of low-birth-weight preterm infants: A literature review

    OpenAIRE

    Mariana de Paiva Franco; Cristiane Paiva Alves

    2014-01-01

    Technology advances and scientific studies in Neonatal Intensive Care Units (NICU) have contributed significantly to reduce mortality and morbidity of at-risk newborns (NB). However, they are more likely to present neurological and/or developmental psychomotor delay with neurological and sensory alterations. Therefore, proposals for neonatal intervention were developed with the aim of protecting the baby and offering appropriate incentives to minimize the effects of hospital intervention. To ...

  13. Mum to mum : an evaluation of a community-based health promotion programme for first-time mothers in The Netherlands

    NARCIS (Netherlands)

    Hanrahan-Cahuzak, M.H.

    2002-01-01

    Background This study evaluated the Dutch Mothers Inform Mothers (MIM) programme. In that programme a visiting mother meets with a first-time mother in her home on a monthly basis to discuss the caring and rearing of her infant. The first-time mothers we

  14. Severe Hypoglycemia Accompanied with Thyroid Crisis

    Directory of Open Access Journals (Sweden)

    Yuki Nakatani

    2012-01-01

    Full Text Available We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest occurred. She was then transferred to the intensive care unit. Her serum glucose level was 7 mg/dl. Intravenous glucose, hydrocortisone, diuretics, and continuous hemodiafiltration (CHDF saved her. We considered that hypoglycemia occurred due to heart failure and liver dysfunction due to thyroid crisis.

  15. The Economic Crisis and Public Health

    Directory of Open Access Journals (Sweden)

    Victor Sidel

    2009-06-01

    Full Text Available The current global economic crisis seriously threatens the health of the public. Challenges include increases in malnutrition; homelessness and inadequate housing; unemployment; substance abuse, depression, and other mental health problems; mortality; child health problems; violence; environmental and occupational health problems; and social injustice and violation of human rights; as well as decreased availability, accessibility, and affordability of quality medical and dental care. Health professionals can respond by promoting surveillance and documentation of human needs, reassessing public health priorities, educating the public and policymakers about health problems worsened by the economic crisis, advocating for sound policies and programs to address these problems, and directly providing necessary programs and services.

  16. Opportunity From Crisis

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Africa can benefit from the global financial crisis by developing and chartering its own economic course by Zhong Weiyun THE global economic development is like a sports competition.A loss by one competitor creates the chance for another to win.The financial crisis has seen major economies in Europe and America struggling under the burden of sluggish markets,while developing

  17. Crisis Management Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.

    2009-01-01

    In this column, Crisis Management in the Schools Interest Group members summarize recent crisis management publications. The first article summarized was a meta-analysis of the risk factors associated with Posttraumatic Stress Disorder (PTSD) among adults. The second study looked at the presence of life stressors among students who were expelled…

  18. Crisis redt ruimtelijke ordening

    NARCIS (Netherlands)

    L. Janssen-Jansen

    2011-01-01

    Wie buiten om zich heen kijkt, ziet een enorm overschot aan vastgoed variërend van leegstaande kantoren en winkels en eindeloos te koop staande woningen tot stilliggende bouwprojecten. In de vakwereld en media krijgt de fi nanciële crisis de schuld. Maar is de crisis wel de schuldige? Of juist de re

  19. ABOUT THE ECONOMIC CRISIS

    OpenAIRE

    Tartavulea Ramona Iulia; Rujan Ovidiu

    2009-01-01

    The economic crisis that the global economy is facing nowadays has started with the financial crisis of the U.S financial system. We are talking about an unprecedented speculative boom at global level which has overcome the previous booms created by the d

  20. A relação entre posicionamento do prematuro no Método Mãe-Canguru e desenvolvimento neuropsicomotor precoce Relationship between positioning of premature infants in Kangaroo Mother Care and early neuromotor development

    Directory of Open Access Journals (Sweden)

    Juliana Barradas

    2006-12-01

    Full Text Available OBJETIVO: Analisar as posturas adotadas pelos prematuros em decúbito ventral (DV e lateral (DL no Método Mãe-Canguru, relacionando-as com o desenvolvimento neuromotor precoce da criança. MÉTODOS: Uma amostra de 80 bebês prematuros, nascidos no Instituto Materno-Infantil de Pernambuco e que permaneceram na Unidade Mãe-Canguru no período de julho a outubro de 2004, foi dividida em dois grupos. Um grupo de 40 bebês foi posicionado em DV, e o outro, também de 40 bebês, em DL. Ambas as amostras foram homogêneas entre si. Os bebês foram avaliados no dia da admissão na Unidade Mãe-Canguru e no dia da alta, através de uma avaliação biomecânica do posicionamento no canguru e do exame neurocomportamental de Dubowitz. A análise estatística dos resultados foi realizada pelo programa Epi-Info versão 6.04; o intervalo de confiança foi de 95%, sendo p significante quando apresentava valor inferior a 0,05. RESULTADOS: Os resultados da pesquisa demonstram que as amostram foram homogêneas entre si e que os bebês em DL assumiram uma postura de maior flexão, associada a um maior enrolamento do tronco. Além disso, esses bebês apresentaram evolução em 13 dos 16 itens avaliados no exame de Dubowitz, enquanto o grupo DV apresentou evolução em 5 dos 16 itens avaliados. CONCLUSÃO: Observou-se que a posição em DL trouxe maiores benefícios com relação ao desenvolvimento neuromotor precoce dos bebês que compuseram a amostra. Porém, a realização de novos estudos de acompanhamento a longo prazo é importante.OBJECTIVE: To evaluate the relationship between prone and lateral positioning of preterm infants in Kangaroo Mother Care and early neuromotor development. METHODS: Eighty preterm infants born at Instituto Materno-Infantil de Pernambuco, Brazil, admitted to the Kangaroo Mother Care Unit between July and October 2004 were divided into two groups. Forty infants was placed in prone position (PP, while the remaining 40 children were

  1. Hypertensive crisis in children.

    Science.gov (United States)

    Chandar, Jayanthi; Zilleruelo, Gastón

    2012-05-01

    Hypertensive crisis is rare in children and is usually secondary to an underlying disease. There is strong evidence that the renin-angiotensin system plays an important role in the genesis of hypertensive crisis. An important principle in the management of children with hypertensive crisis is to determine if severe hypertension is chronic, acute, or acute-on-chronic. When it is associated with signs of end-organ damage such as encephalopathy, congestive cardiac failure or renal failure, there is an emergent need to lower blood pressures to 25-30% of the original value and then accomplish a gradual reduction in blood pressure. Precipitous drops in blood pressure can result in impairment of perfusion of vital organs. Medications commonly used to treat hypertensive crisis in children are nicardipine, labetalol and sodium nitroprusside. In this review, we discuss the pathophysiology, differential diagnosis and recent developments in management of hypertensive crisis in children.

  2. Implementing mentor mothers in family practice to support abused mothers: Study protocol

    OpenAIRE

    Laurant Miranda GH; Wester Fred PJF; Lo Fo Wong Sylvie H; Loeffen Maartje JW; Lagro-Janssen Antoine LM

    2011-01-01

    Abstract Background Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experience a too high threshold. Mentor mother support, a low threshold intervention for abused mothers in family practice, proved to be feasible and effective in Rotterdam, ...

  3. The other mother: a narrative analysis of the postpartum experiences of nonbirth lesbian mothers.

    Science.gov (United States)

    McKelvey, Michele M

    2014-01-01

    The purpose of this study was to develop a metastory of nonbiological lesbian mothers' postpartum experiences utilizing Riessman's structural approach to thematic analysis. Ten nonbirth lesbian mothers were interviewed. Each shared a unique story of her first year of motherhood. Themes were individually analyzed within each story. The metastory of the postpartum experiences of nonbirth lesbian mothers revealed 6 themes including the following: At the mercy of health care providers, Nursing is the major difference between us, Defined by who I am not, Fighting for every piece of motherhood: The world can take them away, What's in a name?, and Epilogue: The new normal.

  4. "I'm so Much More Myself Now, Coming Back to Work"--Working Class Mothers, Paid Work and Childcare

    Science.gov (United States)

    Braun, Annette; Vincent, Carol; Ball, Stephen J.

    2008-01-01

    This paper explores the ways in which working class mothers negotiate mothering and paid work. Drawing on interviews with 70 families with pre-school children, we examine how caring and working responsibilities are conceptualised and presented in mothers' narratives. Mothers showed a high degree of commitment to paid work and, in contrast to…

  5. Do Mothers Want Professional Carers to Love Their Babies?

    Science.gov (United States)

    Page, Jools

    2011-01-01

    This article reports an aspect of a life historical study which investigated the part that "love" played in mothers' decision-making about returning to work and placing their babies in day care. The article begins with a brief discussion of the context, including 21st-century policies in England to encourage mothers to return to the workforce…

  6. Nutritional Beliefs and Food Practices of Mexican-American Mothers.

    Science.gov (United States)

    Bowden, Shirley

    In the locale of Hanford, California, this 1968 nutritional study was made to explore and evaluate the nutritional beliefs and food practices of Mexican American mothers among low-income agricultural working families. Some 35 mothers whose children attended the Hanford Child Day-Care Center were interviewed at home to determine family…

  7. Optimizing Mothers' Social Networks: Information-Sharing Strategies

    Science.gov (United States)

    Lashley, Cynthia O'Nell

    2010-01-01

    Finding high-quality infant care continues to be challenging for many families. Such challenges are even greater for single mothers with limited resources and English language skills. Several years ago, this challenge formed the basis for an urban, center-based program called the Pregnant-Mothers Support Group (PSG). The PSG served single,…

  8. Stress in Mothers of Hearing Impaired Children Compared to Mothers of Normal and Other Disabled Children

    Directory of Open Access Journals (Sweden)

    Mahnaz Aliakbari Dehkordi

    2011-06-01

    Full Text Available Background and Aim: Stress is associated with life satisfaction and also development of some physical diseases. Birth of a disabled child with mental or physical disability (especially deaf or blind children, impose an enormous load of stress on their parents especially the mothers. This study compared stress levels of mothers with hearing impaired children and mothers of normal children or with other disabilities.Methods: In this study, cluster random sampling was performed in Karaj city. 120 mothers in four groups of having a child with mental retardation, low vision, hearing impairment and with normal children were included. Family inventory of life events (FILE of Mc Cubbin et al. was used to determine stress level in four groups of mothers.Results: The results of this research indicated a significant difference (p<0.05 between stress levels of mothers with hearing impaired children and mothers of other disabled and normal children in subscales of intra-family stress, finance and business strains, stress of job transitions, stress of illness and family care and family members "in and out''. There was no difference between compared groups in other subscales.Conclusion: Since deafness is a hidden inability, the child with hearing impairment has a set of social and educational problems causing great stress for parents, especially to mother. In order to decrease mother’s stress, it is suggested to provide more family consultation, adequate social support and to run educational classes for parents to practice stress coping strategies.

  9. Crisis Communication and Management: Surviving a Public Relations Crisis

    Science.gov (United States)

    Eramo, Eric M.

    2009-01-01

    Crisis management, or crisis communication, is never a good thing for a business to experience. It is, however, a public relations' professional moment to shine and put their honed skills to good use. A good crisis management plan is not only action during the crisis but preparation and reflection. Hiring a PR firm that deals with crisis…

  10. The role of home-based records in the establishment of a continuum of care for mothers, newborns, and children in Indonesia

    Directory of Open Access Journals (Sweden)

    Keiko Osaki

    2013-05-01

    Full Text Available Background: The provision of appropriate care along the continuum of maternal, newborn, and child health (MNCH service delivery is a challenge in developing countries. To improve this, in the 1990s, Indonesia introduced the maternal and child health (MCH handbook, as an integrated form of parallel home-based records. Objective: This study aimed to identify the roles of home-based records both before and after childbirth, especially in provinces where the MCH handbook (MCHHB was extensively promoted, by examining their association with MNCH service uptake. Design: This was a cross-sectional study using nationally representative data sets, the Indonesia Demographic and Health Surveys (IDHSs from 1997, 2002–2003, and 2007. The IDHS identifies respondents’ ownership of home-based records before and after childbirth. Multivariate logistic regression was used to examine associations between record ownership and service utilisation in national data and data from two provinces, West Sumatra and North Sulawesi, where ownership of pre- and post-natal records served as a proxy for MCHHB ownership. Results: Pre- and post-natal record ownership increased from 1997 to 2007. Provincial data from 2007 showed that handbook ownership was associated with having delivery assisted by trained personnel [adjusted odds ratio (aOR: 2.12, 95% confidence interval (CI: 1.05–4.25], receiving maternal care (aOR: 3.92, 95% CI: 2.35–6.52, completing 12 doses of child immunisation for seven diseases (aOR: 4.86, 95% CI: 2.37–9.95, and having immunisation before and after childbirth (aOR: 5.40, 95% CI: 2.28–12.76, whereas national data showed that service utilisation was associated with ownership of both records compared with owning a single record or none. Conclusion: Our results suggest that pre- and post-natal home-based record use may be effective for ensuring service utilisation. In addition, since the handbook is an efficient home-based record for use throughout

  11. Mothers' Perceptions of Their NICU Experience 1 and 7 Months after Discharge.

    Science.gov (United States)

    Meck, Nancy E.; And Others

    1995-01-01

    Interviews with 36 mothers of premature infants concerning their perceptions of their infants' care 1 and 7 months after discharge from the neonatal intensive care unit (NICU) found that mothers received information on their baby's health and routine care but did not receive information about developmental issues or such topics as transfer of…

  12. Dalla crisi finanziaria alla crisi reale

    Directory of Open Access Journals (Sweden)

    Carlo D'Adda

    2010-03-01

    Full Text Available  The financial crisis of 2008 is put in relation with two bubbles, financial and housing. Easy credit is at the origin of both bubbles. Risky bonds were issued to mobilize mortgages originated in the housing market, and bad bonds entered a fantastic number of institutional and private portfolios all over the world without any perception of the their risk. Unfortunately, bank credit to speculators was abundant and fed the final growth of the bubbles. When fears started to spread, the fall was immediate and expectations impaired very rapidly. The main aggregate demand components were severely curtailed and production fell as well. This is the crisis of the real economy. Fortunately, as opposed to what happened in 1929, the interventions of central banks and governments have been of an unprecedented size. The bail out of insolvent banks in particular has been providential. The exit from the current crisis, however, will surely be slow. JEL Code: E44, G01, G10Keywords: Cultura economica, Crisi finanziaria, Regole  

  13. Husserl's Crisis as a crisis of psychology.

    Science.gov (United States)

    Feest, Uljana

    2012-06-01

    This paper places Husserl's mature work, The Crisis of the European Sciences, in the context of his engagement with--and critique of--experimental psychology at the time. I begin by showing (a) that Husserl accorded psychology a crucial role in his philosophy, i.e., that of providing a scientific analysis of subjectivity, and (b) that he viewed contemporary psychology--due to its naturalism--as having failed to pursue this goal in the appropriate manner. I then provide an analysis of Husserl's views about naturalism and scientific philosophy. Some central themes of the Crisis are traced back to Husserl's earlier work and to his relationship with his teacher, Franz Brentano, with whom he disagreed about the status of "inner perception" as the proper scientific method for a phenomenological analysis. The paper then shows that Husserl was well aware of at least one publication about the crisis of psychology (Bühler's 1927 book), and it teases out some aspects of the complicated relationship between Husserl and members of the Würzburg School of thought psychology: The latter had drawn on Husserl's writings, but Husserl felt that they had misunderstood his central thesis. I conclude by placing Husserl's work in the wider context of scientific, cultural, and political crisis-discourses at the time.

  14. Caring finance practices

    OpenAIRE

    Staveren, Irene

    2013-01-01

    textabstractThe 2008 financial crisis has demonstrated the failure of both utilitarian and deontological ethics in finance. Alternatives do not need to be created from nothing, because the crisis itself has stimulated the emergence of ethically sound finance practices from within the sector. This article presents two cases of such alternatives, which can be understood as caring finance. Caring finance is built around more personal relationships, responsibility, and risk reduction. The example...

  15. The Ontario Mother and Infant Study (TOMIS III: A multi-site cohort study of the impact of delivery method on health, service use, and costs of care in the first postpartum year

    Directory of Open Access Journals (Sweden)

    Landy Christine

    2009-04-01

    Full Text Available Abstract Background The caesarean section rate continues to rise globally. A caesarean section is inarguably the preferred method of delivery when there is good evidence that a vaginal delivery may unduly risk the health of a woman or her infant. Any decisions about delivery method in the absence of clear medical indication should be based on knowledge of outcomes associated with different childbirth methods. However, there is lack of sold evidence of the short-term and long-term risks and benefits of a planned caesarean delivery compared to a planned vaginal delivery. It also is important to consider the economic aspects of caesarean sections, but very little attention has been given to health care system costs that take into account services used by women for themselves and their infants following hospital discharge. Methods and design The Ontario Mother and Infant Study III is a prospective cohort study to examine relationships between method of delivery and maternal and infant health, service utilization, and cost of care at three time points during the year following postpartum hospital discharge. Over 2500 women were recruited from 11 hospitals across the province of Ontario, Canada, with data collection occurring between April 2006 and October 2008. Participants completed a self-report questionnaire in hospital and structured telephone interviews at 6 weeks, 6 months, and 12 months after discharge. Data will be analyzed using generalized estimating equation, a special generalized linear models technique. A qualitative descriptive component supplements the survey approach, with the goal of assisting in interpretation of data and providing explanations for trends in the findings. Discussion The findings can be incorporated into patient counselling and discussions about the advantages and disadvantages of different delivery methods, potentially leading to changes in preferences and practices. In addition, the findings will be useful to

  16. The Crisis in Perspective

    Directory of Open Access Journals (Sweden)

    Haroon Sheikh

    2009-04-01

    Full Text Available The crisis that is currently unfolding is unlike the recessions we have seen in previous decades and spells the end of an era. To gain an adequate understanding of such a watershed, we need to look at the crisis from a broad perspective. Otherwise we run the risk of merely looking at the symptoms rather than fundamental causes. This article first deals with structural economic imbalances that underpin the current crisis. Next it takes a more broad perspective by placing these imbalances in a social context that requires a reorientation. Finally, the prospects for such a reorientation are considered in the light of historical parallels.

  17. Trust vs. Crisis

    DEFF Research Database (Denmark)

    Mogensen, Kirsten

    2014-01-01

    The three social phenomena -- norms, trust, and crisis -- are in this paper combined into one model that illustrates their function and relationship. Crisis is seen as a reaction to serious violations of expectations that leave people disoriented, insecure about situational norms, and unable...... to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968), Alf Ross Directives and Norms (1967), and Arthur G. Neal National Trauma...

  18. Growth in a Crisis

    Institute of Scientific and Technical Information of China (English)

    XIONG HOU

    2010-01-01

    @@ In the first half of 2010, the Greek sovereign debt crisis hit Europe severely,casting a shadow over the region's slow economic recovery. Although the crisis has been gradually curbed across Europe, thanks largely to major financial stability measures by the EU and its member states, it still poses grave challenges to the long-term economic growth of Europe. Faced with serious structural problems brought to light by the crisis, Europe must carry out substantial measures to regain vitality and ensure lasting growth.

  19. Trust vs. Crisis

    Directory of Open Access Journals (Sweden)

    Kirsten Mogensen

    2014-06-01

    Full Text Available The three social phenomena -- norms, trust, and crisis -- are in this paper combined into one model that illustrates their function and relationship. Crisis is seen as a reaction to serious violations of expectations that leave people disoriented, insecure about situational norms, and unable to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968, Alf Ross Directives and Norms (1967, and Arthur G. Neal National Trauma & Collective Memory (1998.

  20. Financial globalisation and the crisis

    OpenAIRE

    Lane, Philip R.

    2012-01-01

    The global financial crisis provides an important testing ground for the financial globalisation model. We ask three questions. First, did financial globalisation materially contribute to the origination of the global financial crisis? Second, once the crisis occurred, how did financial globalisation affect the incidence and propagation of the crisis across different countries? Third, how has financial globalisation affected the management of the crisis at national and international levels?

  1. Single Mother's Resource Handbook.

    Science.gov (United States)

    Ferando, Annette; Newbert, David

    Funded under the Women's Educational Equity Act, the Assertiveness Training Program for Single Mothers was offered to mothers with children enrolled in the Omaha Head Start and Parent-Child Center Programs. The 16-week long program, providing a total of 40 hours of training, covered a wide range of topics in addition to the initial workshops on…

  2. Averting a Future Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The world has left the worst of the financial crisis behind, but memories of the meltdown have barely faded. But what made the world’s economy so vulnerable, and what kinds of lessons can we draw from it?

  3. Crisis and Regional Integration

    DEFF Research Database (Denmark)

    Dosenrode, Søren

    , Tunisia, Egypt …. ), where the crisis referred to could be humanitarian, environmental, economic, political … Europe, too, has also according to mass media, been a victim of a crisis, the financial one. Could ‘crisis’ be a beginning of enhanced regional integration? This paper will try to look......‘Crisis’ has been a word frequently heard of over the last couple of years, both in a global meaning (e.g. the environmental crisis, the financial crisis) and also in a more regional or national meaning, many times related to Africa (Horn of Africa, Ivory Coast, DR Congo, Zimbabwe, Ivory Coast...... at the processes of regional integration in relation to ‘crisis’ in Africa and Europe. First, this paper will look at the concept of ‘crisis’, before it moves on to discuss ‘regional integration’ and the correlation between the two, emphasizing the approaches of neo-functionalism and federal theory...

  4. Crisis of What?

    Directory of Open Access Journals (Sweden)

    Leo Panitch

    2015-08-01

    Full Text Available This sharp question is appropriately thought-provoking. We certainly have been living through a great capitalist crisis, really only the fourth crisis of such scale after the so-called Great Depression of 1873-96, the more familiar Great Depression of the 1930s, and the global stagflation and profitability crisis of the 1970s. The very fact that capitalism survived these earlier crises should warn us away from reverting to the old mistaken notions of economic crises heralding the final breakdown of the system. But could this at least be a major turning point? Is this at least a crisis of neoliberalism? Or of American empire? Or even perhaps of "globalization"?

  5. Emotional crisis communication

    NARCIS (Netherlands)

    T.G.L.A. van der Meer; J.W.M. Verhoeven

    2014-01-01

    Organizational crises are usually highly emotional experiences for both organizations and stakeholders. Hence, crisis situations often result in emotionally charged communication between the two parties. Despite the attention of organizations and scholars to the emotions of stakeholders during crise

  6. Migrants caught in crisis

    Directory of Open Access Journals (Sweden)

    Brian Kelly

    2012-06-01

    Full Text Available A number of new initiatives point to ways in which the internationalcommunity – particularly governments – could help reduce the vulnerabilities of migrant workers during conflict and crisis situations.

  7. Veterans Crisis Line

    Science.gov (United States)

    ... also access and download the Veterans Crisis Line Branding Guidelines for guidance on how to consistently apply ... Program ADMINISTRATION Veterans Health Administration Veterans Benefits Administration National Cemetery Administration U.S. Department of Veterans Affairs | 810 ...

  8. Maternal depression and filicide-case study of ten mothers.

    Science.gov (United States)

    Kauppi, Anne; Kumpulainen, Kirsti; Vanamo, Tuija; Merikanto, Juhani; Karkola, Kari

    2008-07-01

    This study describes ten cases of filicides committed by mothers who intentionally killed one or more of their children within 12 months after delivery. The data were collected from police and court records, forensic psychiatric records, autopsy reports, and other medical records. The mean age of the mothers was 28.5 years and of the victims 4 months. The symptoms of depression were clear: an irritable, severely depressed mood with crying spells, insomnia, fatigue, anxiety, preoccupation with worries about the baby's well-being and the mother's caring abilities, suicidal ideation, or even psychotic thoughts. Most mothers had had house calls from the public health nurse or psychologist. The mothers' conditions deteriorated rapidly, and the filicide was committed when the mother was left alone with the baby against her will. The babies were well taken care of, not neglected or abused. The majority of the mothers had felt that their own parents, especially their mothers, were very demanding, rejecting, and emotionally unsupportive. All the mothers had also had traumatic experiences in their childhood or in adulthood. PMID:18587626

  9. Implementing mentor mothers in family practice to support abused mothers: Study protocol

    Directory of Open Access Journals (Sweden)

    Laurant Miranda GH

    2011-10-01

    Full Text Available Abstract Background Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experience a too high threshold. Mentor mother support, a low threshold intervention for abused mothers in family practice, proved to be feasible and effective in Rotterdam, the Netherlands. The primary aim of this study is to investigate which factors facilitate or hinder the implementation of mentor mother support in family practice. Besides we evaluate the effect of mentor mother support in a different region. Methods/Design An observational study with pre- and posttests will be performed. Mothers with home living children or pregnant women who are victims of intimate partner violence will be offered mentor mother support by the participating family physicians. The implementation process evaluation consists of focus groups, interviews and questionnaires. In the effect evaluation intimate partner violence, the general health of the abused mother, the mother-child relationship, social support, and acceptance of professional help will be measured twice (t = 0 and t = 6 months by questionnaires, reporting forms, medical records and interviews with the abused mothers. Qualitative coding will be used to analyze the data from the reporting forms, medical records, focus groups, interviews, and questionnaires. Quantitative data will be analyzed with descriptive statistics, chi square test and t-test matched pairs. Discussion While other intervention studies only evaluate the feasibility and effectiveness of the intervention, our primary aim is to evaluate the implementation process and thereby investigate which factors facilitate or hinder implementation of mentor mother support in family practice.

  10. Building capacity for evidence generation, synthesis and implementation to improve the care of mothers and babies in South East Asia: methods and design of the SEA-ORCHID Project using a logical framework approach

    Directory of Open Access Journals (Sweden)

    Short Jacki

    2010-07-01

    Full Text Available Abstract Background Rates of maternal and perinatal mortality remain high in developing countries despite the existence of effective interventions. Efforts to strengthen evidence-based approaches to improve health in these settings are partly hindered by restricted access to the best available evidence, limited training in evidence-based practice and concerns about the relevance of existing evidence. South East Asia - Optimising Reproductive and Child Health in Developing Countries (SEA-ORCHID was a five-year project that aimed to determine whether a multifaceted intervention designed to strengthen the capacity for research synthesis, evidence-based care and knowledge implementation improved clinical practice and led to better health outcomes for mothers and babies. This paper describes the development and design of the SEA-ORCHID intervention plan using a logical framework approach. Methods SEA-ORCHID used a before-and-after design to evaluate the impact of a multifaceted tailored intervention at nine sites across Thailand, Malaysia, Philippines and Indonesia, supported by three centres in Australia. We used a logical framework approach to systematically prepare and summarise the project plan in a clear and logical way. The development and design of the SEA-ORCHID project was based around the three components of a logical framework (problem analysis, project plan and evaluation strategy. Results The SEA-ORCHID logical framework defined the project's goal and purpose (To improve the health of mothers and babies in South East Asia and To improve clinical practice in reproductive health in South East Asia, and outlined a series of project objectives and activities designed to achieve these. The logical framework also established outcome and process measures appropriate to each level of the project plan, and guided project work in each of the participating countries and hospitals. Conclusions Development of a logical framework in the SEA

  11. Crisis-Driven Cooperation

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Not hit as badly as the West, East Asian and Southeast Asian countries grapple with the financial crisis from a long-term perspective Although Thailand postponed at the last minute the annual summits of East Asian and Southeast Asian leaders scheduled on April 11-12, regional cooperation will continue to forge ahead with full vigor, even more so in the context of the global financial crisis, said Chinese international studies experts.

  12. Financial Crisis (introduction)

    OpenAIRE

    Martin Cihak

    2009-01-01

    Since the bursting of the bubble in the U.S. mortgage market in 2007, the financial turmoil has spread to a wide range of other markets and economies around the world, morphing into a global financial crisis. The five articles in this special issue of the Czech Journal of Economics and Finance cover selected aspects of the crisis, including the contagion from advanced economies to emerging markets, the potential for contagion among European emerging markets, the differentiated impact of the c...

  13. Syrian Crisis and Migration

    OpenAIRE

    Pinar Yazgan; Deniz Eroglu Utku; Ibrahim Sirkeci

    2015-01-01

    With the growing insurrections in Syria in 2011, an exodus in large numbers have emerged. The turmoil and violence have caused mass migration to destinations both within the region and beyond. The current "refugee crisis" has escalated sharply and its impact is widening from neighbouring countries toward Europe. Today, the Syrian crisis is the major cause for an increase in displacement and the resultant dire humanitarian situation in the region. Since the conflict shows no signs of abating i...

  14. The Impending Oral Health Crisis.

    Science.gov (United States)

    Tegtmeier, Carl H; Miller, David J; Shub, Judith L

    2016-04-01

    Last May, the New York State Dental Association and the New York State Dental Foundation convened the first "Oral Health Stakeholders' Summit on the Future of Special Needs Dentistry, Hospital Dentistry and Dental Education." The summit was chaired by David J. Miller, then NYSDA President Elect, and Carl H. Tegtmeier, then chair of the NYSDA Council on Dental Health Planning and Hospital Dentistry. It brought together experts, called to frame the issues and provide information necessary for a reasoned response. And it sought input from attendees to develop recommendations to ensure that patients with intellectual and developmental disabilities, as well as an aging population with Alzheimer's disease and dementia, have access to appropriate oral health care in the years ahead. Over 100 participants, representing dentistry, hospital training programs, third-party payers, state government offices and related patient support associations, attended the two-day event in Albany. They focused on the impact of reductions in funding, the transition of Medicaid services into a managed care model, a loss of service providers and the need for expanded training programs. They heard from speakers epresenting a broad spectrum of those involved in he oral health care of patients with intellectual and evelopmental disabilities, the Alzheimer's Association, dental educators and researchers, hospital dentistry and the benefits industry, whose presentations focused on a looming oral health crisis threatening access to dental care for patients with disabilities. PMID:27348951

  15. [Financial crisis and mental health].

    Science.gov (United States)

    Giotakos, O

    2010-01-01

    Most studies investigating the effects of the economic crisis on the quality of life indicate a correlation between unemployment or other economic indexes and the general levels of death rates, depression, and suicide tendencies. The most common effects of an economic crisis are unemployment, spending power cuts, general insecurity and public spending retrenchment, including health related budget cuts. Under conditions of economic crisis, the poor represent a high risk group since they are the first ones to be put at risk. At the same time, due to their pre-existing functionality reduction, individuals already experiencing psychiatric diseases also represent a high risk group, thus creating a vice circle where poverty nurtures psychiatric disorders and vice-versa. For every country in the midst of a recession, protecting high risk target groups is the first priority. In these cases, research showcases that social security networks' reinforcement represents the first strategic priority. Other factors, for instance personality features related to increased vulnerability to psychosocial threat -such as low tolerance to frustration or low self esteem- also play an important role. At the organizational level, one has to research practices and policies that employers use to respond to changing conditions. An economic recession is a chance to revamp essential services toward weaker populations that need to be protected. This translates into a buttressing of the social welfare system while promoting timely interventions. Amongst others, the registration of high risk population groups, the rehabilitation and social inclusion of unemployed individuals and individuals with psychiatric problems, the training of first responders and primary care physicians, the tracing and curing of depression and other usual disorders, as well as an improved access to the psychiatric-health provision system.

  16. CRISIS COMMUNICATION IN UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    Canan MADRAN

    2015-07-01

    Full Text Available Abstract Institutions should implement effective crisis communication strategies to manage their reputations in crisis situations. Thus, the negative perceptions that may occur because of crisis can be reduced and eliminated by continuously informing stakeholders. Therefore, various researches are needed in the area of crisis communication management. The aim of the study is to determine the types of crises that often occur in universities and evaluate the crisis communication efforts in higher education institutions. Crises and crisis communication efforts were evaluated within the framework of media reflections in this study. Content analysis was applied in the classification of crises and responses provided for crises. As a result, the types of crises in Turkish universities were determined as campus safety, actions, protests, loss of confidential information, loss of financial opportunities, loss of key managers and personnel, staff problems, increase of accidents, slander and gossip, unnecessary explanations, rumors, damage to organization and employee reputation, terrorism, workplace violence, corruption, fire and epidemic. It is seen that universities don’t make any communicational effort regarding campus safety, staff problems, increase of accidents, corruption or fire.

  17. Crisis management strategies.

    Science.gov (United States)

    Koster, Maria C; Politis-Norton, Helen

    2004-01-01

    This paper discusses the different facets of crisis as experienced within the pharmaceutical industry but which are also prevalent throughout other industries. It highlights the importance of early identification and management of crises and issues, which in return are strongly intertwined with a fundamental positive internal corporate climate. A corporate philosophy should always embrace crisis management with the attitude of 'when' and not 'if'; therefore, a company should act today and not tomorrow once a crisis is on its doorstep. Preparation is of utmost importance and there are several items that can be addressed even before a crisis has arisen. Further, this paper also provides guidance on how to deal with the media, what to do and what not to do, and how to appoint the appropriate spokesperson. In this era of fast exchange of information, crisis, which previously may have stayed behind corporate doors, may not do so any longer. Image is very important and should therefore not be risked. Crisis and issue management should therefore be integrated in every company's philosophy and standard operating procedures.

  18. Filhas que cuidam de pais/mães com provável/possível Doença de Alzheimer Daughters who take care of fathers/mothers with probable/possible Alzheimer's Disease

    Directory of Open Access Journals (Sweden)

    Deusivânia Vieira da Silva Falcão

    2008-12-01

    Full Text Available Este estudo investigou 32 filhas cuidadoras de pais/mães com provável/possível doença de Alzheimer (DA. Objetivou avaliar as reações iniciais delas diante do diagnóstico; as concepções sobre as características pessoais dos portadores antes e após a DA; os principais motivos que levaram a cuidar de seus genitores e quais os sentimentos diante do papel exercido. Elaborou-se uma entrevista que foi gravada, transcrita e analisada segundo a técnica de Bardin (1977/2000. Constatou-se que elas apresentaram uma reação inicial desfavorável diante da doença. Os motivos mais apontados para exercerem o papel, foram os sentimentos de obrigação filial e gratidão. No geral, elas não se sentiam bem executando essa tarefa. Entrementes, benefícios foram apontados por algumas, tais como crescimento pessoal. Conclui-se que a atividade de cuidar é heterogênea, multifacetada e as avaliações subjetivas das entrevistadas eram influenciadas por crenças, regras familiares, relacionamento com o idoso e percepções acerca da velhice e do cuidado.This study investigated 32 daughters who take care of fathers/mothers with probable/possible Alzheimer's Disease (AD. It focused on evaluating daughters initial reactions facing the diagnosis; their conceptions concerning the personal characteristics of the diseased before and after AD; the main reasons that brought them to be the caregivers, nurses, of their parents and what are the feelings towards the activity role. An interview was elaborated, then recorded, transcribed and analyzed according to Bardin's technique (1977/2000. It was verified that they presented an unfavorable first reaction facing the disease. The most appointed motivations were the feelings of obligation and gratitude. In general, they did not feel at easy executing this duty. Nevertheless benefits as self-growth were appointed by some. It is concluded that the activity of care giving is heterogenic, multiply faced and the subjective

  19. Experiential and hormonal correlates of maternal behavior in teen and adult mothers.

    Science.gov (United States)

    Krpan, Katherine M; Coombs, Rosemarie; Zinga, Dawn; Steiner, Meir; Fleming, Alison S

    2005-01-01

    This study explores the role of cortisol and early life experiences in the regulation of maternal behavior and mood in teen and adult mothers. Primiparous mothers (n=119) (teen mothers 25 years, n=43) were assessed for their maternal behavior, mood, and hormonal profile at approximately 6 weeks postpartum. Outcome measures were analyzed as a function of age and early life experience. Results showed an interaction between age and type of maternal behavior, where teen mothers engaged in more instrumental (e.g. changing diapers, adjusting clothes) less affectionate (e.g., stroking, kissing, patting) behavior, and mature mothers engaged in more affectionate and less instrumental behavior. When groups were reassessed based on early life experience (consistency of care during the first 12 years of life: consistent care; having at least one consistent caregiver, inconsistent care; having multiple and changing caregivers), an interaction was also found between consistency of care and type of behavior shown, where mothers who received inconsistent care engaged in more instrumental and less affectionate behavior. Compared to mature mothers, teen mothers who were breast feeding also had higher salivary cortisol levels, and high cortisol in teen mothers related to decreased fatigue and increased energy. These results suggest that early life experiences are linked to mothering behavior and are consistent with the emerging human and animal literature on intergenerational effects of mothering style. PMID:15579272

  20. Contemporary medical television and crisis in the NHS

    OpenAIRE

    Hamad, Hannah

    2016-01-01

    This article maps the terrain of contemporary UK medical television, paying particular attention to Call the Midwife as its centrepiece, and situating it in contextual relation to the current crisis in the NHS. It provides a historical overview of UK and US medical television, illustrating how medical television today has been shaped by noteworthy antecedents. It argues that crisis rhetoric surrounding healthcare leading up to the passing of the Health and Social Care Act 2012 has been accomp...

  1. [A proposal to combine Roy's conceptual framework with crisis theory].

    Science.gov (United States)

    Luis, M V

    1990-04-01

    It is reported the crisis theory framework's and is proposed its linkage with the Callista Roy conceptual Model. The aim is to provide the nurse with an instrumental and theoretical framework of the knowledge of the person in crisis intervention. In this proposition is still suggested, a guide to nursing care. It is derived of both theories and exemplified by the author trough practice application.

  2. Knowledge, Attitude and Practices of Mothers Regarding Infant Feeding Practices

    Directory of Open Access Journals (Sweden)

    Sushma Sriram

    2013-04-01

    Full Text Available Background: Present study was conducted to assess the knowledge, attitude and practices of mothers towards infant feeding practices. Materials and methods: The mothers of infants, coming to a tertiary care centre, Ahmedabad, on outpatient basis were interviewed using a pre-designed questionnaire. Total 150 mothers were interviewed. Results: Out of the total, 18% mothers were illiterate.58.67% mothers have been counselled by doctor about feeding. Regarding breast feeding, 96% knew about exclusive breast feeding up to 6months. 90.67% think that colostrum is good for baby.34.67% mothers have given pre-lacteal feeds, tea and jaggery was most common.84.67% mothers knew that they should take extra food during lactation. Father (36% most commonly help in feeding while 31.33% don’t get any domestic help.78.67% women consult doctor for feeding problems. Most common reason of stopping breast feeding was inadequate milk secretion(54.67%.18% think that feeding should be stopped during illness. 75.33% women were completely satisfied with their feeding practices. Conclusion-Mothers had good knowledge about infant feeding practices. Inspite of good knowledge there are lacunae in the practices of mothers due to social and economic reasons. Level of education has positive impact on infant feeding practices. Counselling by doctors had a better impact on the attitude and practices of mothers. [Natl J Med Res 2013; 3(2.000: 147-150

  3. MOTHERS PRACTICING PROSTITUTION AND CHILDREN'S RIGHTS

    OpenAIRE

    Ana-Maria MANDIUC

    2014-01-01

    A large number of women who practice prostitution get pregnant and have the child. When a mother continues practicing prostitution, while at the same time trying to fulfill parental responsibilities, the child’s rights could end up being violated because of the characteristics of the two roles the woman adopts. The present paper presents the case study of a child of schooling age and whose mother practiced prostitution. The child was put in foster care after the mother’s death and the case st...

  4. Atenção humanizada ao recém-nascido de baixo peso - Método Canguru: a proposta brasileira Humanization in low weight newborn intensive care - Kangaroo Mother Care: the Brazilian propose

    Directory of Open Access Journals (Sweden)

    Zeni Carvalho Lamy

    2005-09-01

    Full Text Available Este estudo contextualiza a experiência brasileira na Atenção Humanizada ao Recém-Nascido de Baixo Peso-Método Canguru, resgatando aspectos ligados à origem do Método Canguru na Colômbia e sua utilização em diferentes países. Para sistematizar a experiência partiu-se da leitura de fontes diversas que incluíram artigos, dissertações, teses e textos oficiais produzidos pelo Ministério da Saúde. A análise do processo de implantação da Atenção Humanizada ao Recém-Nascido de Baixo Peso - Método Canguru pelo Ministério da Saúde nos permitiu mapear uma experiência distinta da encontrada em países que adotaram ou discutem o Método Canguru como estratégia de substituição de tecnologia. Por outro lado, a experiência brasileira também é mais ampla do que aquela encontrada nos países desenvolvidos e se configura como estratégia de qualificação do cuidado neonatal.This work describes the start of Kangaroo Care utilization in Colombia, his spread in other countries and how it is applied in Brazil, contextualizing the Brazilian experience in the Humanized Care of Low Weight Newborn - Kangaroo Care (AHRNPB-MC. Our primary source to systemize the experience was the analysis of documents, including official papers produced by the Brazilian health department. The study provided a reflection on the AHRNPB-MC and his use as tool for improvement the Brazilian neonatal care.

  5. Predictors of Stability and Change in Private Safety Nets of Unmarried Mothers

    OpenAIRE

    Radey, Melissa; Brewster, Karin

    2013-01-01

    Although the importance of social supports for single mothers in times of crisis is widely recognized, little is known about the stability of such “private safety nets” over time, as children age and maternal and household characteristics change. This study uses multilevel models and 4 waves of data from the Fragile Families and Child Wellbeing Study to describe trajectories of social support perceptions for 3,065 unmarried mothers. Results suggest that, following a birth, most unmarried moth...

  6. LEADERSHIP* AND ENTREPRENEURSHIP DURING THE CRISIS PERIOD

    OpenAIRE

    Marian NĂSTASE

    2011-01-01

    We assist today to interesting and challenging times for everyone, regardless of his hierarchical position or his field of activity. The globalization process that have brought a lot of positive effects at international, national and regional level, proved to be one of the most important carrier for an unexpected and unwished economic phenomenon: the economic crisis. It’s important to understand that for SME’s sector the leadership is a crucial variable that has to be carefully managed under ...

  7. WIC Mothers' Social Environment and Postpartum Health on Breastfeeding Initiation and Duration

    OpenAIRE

    Darfour-Oduro, Sandra Asantewaa; Kim, Juhee

    2014-01-01

    A low breastfeeding rate has been a consistent maternal and child health problem in the United States, especially for low-income families. Understanding mothers' social environment and overall well-being is important in determining how mothers will take care of themselves and their infants during the postnatal period in relation to the breastfeeding rate among low-income mothers. In this study, we examined the effects of the social environment of mothers enrolled in a Special Supplemental Nut...

  8. Mothers’ Part-time Employment: Associations with Mother and Family Well-being

    OpenAIRE

    Buehler, Cheryl; O’Brien, Marion

    2011-01-01

    The associations between mothers’ part-time employment and mother well-being, parenting, and family functioning were examined using seven waves of the NICHD Study of Early Child Care and Youth Development data (N = 1,364), infancy through middle childhood. Concurrent comparisons were made between families in which mothers were employed part time and both those in which mothers were not employed and those in which mothers were employed full time. Using multivariate analysis of covariance with ...

  9. Systematic Differences in How Mothers Assess Their Children and Implications for Developmental Research

    OpenAIRE

    Cory Koedel; Teerachat Techapaisarnjaroenkit

    2011-01-01

    We examine agreeability between mothers and caregivers in their assessments of children’s non-cognitive development. We extend the standard agreeability framework and carefully consider systematic directional differences between mothers and caregivers across maternal subgroups. Minority mothers provide consistently more-favorable evaluations of their children than childcare providers. Holding race constant, mothers who raise their children outside of an intact family unit also provide more-fa...

  10. Does Care Matter?

    DEFF Research Database (Denmark)

    Loft, Lisbeth Trille Gylling; Hogan, Dennis P.

    2014-01-01

    employment during the first 36 weeks following a birth, and its association with experienced non-parental child care use before labor force entry. Using data from the Early Childhood Longitudinal Survey – Birth Cohort (N = 10,400 mothers), results from discrete-time hazard models show that use of non-parental...... for care. The American setting is an ideal context to investigate the linkages between child care capital and maternal employment as the patterns of child care use tend to be more diverse compared to other national context. In the presented application of care capital, we examine mothers’ entry to paid...... child care prior to employment is independently and positively associated with the timing of maternal employment entry. This finding applies both to first-time mothers (n = 3,800) and to mothers of multiple children (n = 6,600). Although data currently available for investigating child care capital...

  11. Reintegration of young mothers

    Directory of Open Access Journals (Sweden)

    Miranda Worthen

    2012-08-01

    Full Text Available Young mothers seeking reintegration after periods of time spent livingwith fighting forces and armed groups face exclusion and stigmarather than the support they and their children badly need.

  12. Organizational crisis management - crisis communication when IT fails

    OpenAIRE

    Glad, Jutta

    2009-01-01

    HELSINKI SCHOOL OF ECONOMICS ABSTRACT International Business, Master’s Thesis Jutta Glad 08.05.2009 ORGANIZATIONAL CRISIS MANAGEMENT – CRISIS COMMUNICATION WHEN INFORMATION TECHNOLOGY FAILS Objectives of the thesis The objective of this study is to find out what different factors an organization should consider when responding to an organizational crisis that has been caused by an information technology failure. The study also tries to find out whether crisis communicat...

  13. Mothers with intellectual disabilities

    OpenAIRE

    Kolarič, Sandra

    2015-01-01

    For the theoretical part of this master's thesis foreign literature and finished foreign researches were studied. In this part of the thesis the characteristics of mothers with intellectual disabilities; factors, which influence the success of carrying out their mother role; and the rights of people with intellectual disabilities as parents, all based on Slovene legislation are included. We listed reasons for limiting reproduction for women with intellectual disabilities and issues concerning...

  14. Mothering to death

    OpenAIRE

    Meadow, R

    1999-01-01

    Three families are described in which the healthy only child was, from early childhood, put to bed and treated as if ill, dependent, and incapable. This abnormal mothering continued for 28, 45, and 48 years, respectively, and the children died as disabled adults. In each case, the three mothers evaded medical, educational, and social services. The origins of their behaviour are examined, and the links with more common forms of separation anxiety, school refusal, and perceive...

  15. Mothers, work and childcare

    OpenAIRE

    Ingrid Ooms; Evelien Eggink; Edwin van Gameren

    2007-01-01

    Original title: Moeders, werk en kinderopvang in model. The government wants women to go out to work more. The choices made by women between working and looking after children are accordingly receiving a great deal of attention. This report describes which factors influence these choices by mothers with young children. The analyses, which are based on the situation in 2004, show that the family situation and income of mothers plays a key role in their decisions on work and childcare. The cost...

  16. The Euro crisis. Causes and Symptoms

    Directory of Open Access Journals (Sweden)

    Christoph S. Weber

    2015-06-01

    Full Text Available The Euro crisis is mainly a consequence of the international financial crisis of 2008. Thereby, the term Euro crisis is misleading as there is no currency crisis. First, the article shows some of the birth defects of the Euro. Second, it shows that the increase in public debt was caused by rescue measures for banks and anti-cyclical fiscal policy. Third, we argue that the Euro crisis is not just one crisis (a sovereign debt crisis but it is a combination of several macroeconomic crises including a growth crisis, a labour market crisis, a public debt crisis, and a current account crisis.

  17. Breastfeeding practices in mothers: a qualitative study

    Directory of Open Access Journals (Sweden)

    Nanis S. Marzuki

    2014-01-01

    Full Text Available Background Despite the WHO and UNICEF recommendations, the well-known breastfeeding benefits, and the efforts to promote and support breastfeeding, exclusive breastfeeding by Indonesian mothers remains low and contributes to high infant mortality rates. Objective To elucidate the factors that influence mothers’ choices for infant feeding Methods This qualitative study was conducted as part of a nationwide survey. The study included 36 in-depth interviews of mothers with infants aged 0-11 months, and health care professionals, including general practitioners, pediatricians, and midwives. This study was performed between October – November 2010 in both rural and urban areas of 4 provinces in Indonesia. Results We found that most mothers intended to breastfeed and had positive perceptions of breastfeeding. However, mothers faced many challenges in the practice of exclusive and proper breastfeeding. Additionally, the perceived definition of exclusive breastfeeding varied among the participants, leading to non-exclusive breastfeeding attitudes. The most frequent reasons for mothers to introduce additional milk formula or food were the perception of an inadequate milk supply, infant dissatisfaction or fussiness after feeding. Different perceptions were also demonstrated in different regions and the varying levels of socioeconomic status. Health care practitioners (HCPs were the most reliable source for giving adequate information, but unfortunately, they were not easily accessible and provided inconsistent information. Consequently, closely-related family members were the major contributors of information to a mother’s choice of infant feeding, because they were easily accessible. Conclusion Factors influencing mothers in their breastfeeding practices are their basic knowledge, demographic and socio-economic status, as well as the availability of support from closely-related family members, friends, and HCPs. [Paediatr Indones. 2014;54:35-41.].

  18. Re-Envisioning Crisis

    DEFF Research Database (Denmark)

    Snaith, Holly; Rosamond, Ben

    2015-01-01

    of EU integration – namely the 1970s oil shocks and the more recent global financial crisis – in order to determine the extent to which these events have been contemporarily defined as providing opportunities to act, or simply challenges to the existing order. The paper provides an analysis of the way...... in which EU actors have mobilised the idea of ‘crisis’ in order to (a) exert control over endogenous and exogenous destabilising forces, (b) (re)define the EU as an object of both political engagement and academic study, and finally (c) make the case for further expansion and integration (particularly....... The comparative nature of the findings helps to contextualise current discourses around the global financial crisis, in order to evaluate the EU’s previous efforts at global repositioning, and the significance of crisis discourse to these efforts....

  19. Psicoterapia de la crisis.

    Directory of Open Access Journals (Sweden)

    José Luis González de Rivera y Revuelta

    2001-01-01

    Full Text Available La crisis es un sindrome agudo de estrés, caracterizado por la ruptura brusca de la vivencia de continuidad psíquica y por la respuesta activa ante un proceso de cambio. El éxito en esta respuesta favorece el desarrollo e integración de la personalidad, mientras que su fracaso puede llevar a una total desestructuración. La intervención terapéutica requiere consideración del tipo y fase de la crisis, de la personalidad y experiencias criticas del sujeto, y de los condicionantes socioculturales del entorno. :

  20. Bargaining in the crisis

    DEFF Research Database (Denmark)

    Ibsen, Christian Lyhne; Andersen, Søren Kaj; Due, Jesper Jørgen;

    2011-01-01

    The economic crisis weighed heavily on the 2010 collective bargaining rounds in the Danish and Swedish manufacturing sectors – the pattern-setting sectors in both countries. This article analyses and compares the bargaining rounds from agenda-setting to signing, pointing to the significant...... differences in bargaining structures, processes and output. On the whole, the crisis seems to have had little effect on the Danish bargaining system due to a strong centralization on the employer side through the Confederation of Danish Industries, union moderation and the coordination of bargaining areas...

  1. Crisis of Transient Chaos

    Institute of Scientific and Technical Information of China (English)

    王文秀; 陆云清; 陈贺胜; 马明全; 竹有章; 何大韧

    2002-01-01

    A new kind of crisis, which is marked by a sudden change of a strange repeller, is observed in an electronicrelaxation oscillator. Firstly, by its simplified piecewise linear model, we show analytically that a strange repellerappears after a hole-induced crisis, and that the fractal dimension of the strange repeller and the average lifetimeof the iterations in the region occupied by the original attractor suddenly change at the critical parameter valuewhen the repeller disappears. Our numerical investigation convinces us that the corresponding phenomenon canbe found in the original electronic relaxation oscillator.

  2. Strategic Responses to Financial Crisis

    OpenAIRE

    Toh, Voon Sia

    2011-01-01

    This study examines the Malaysian financial institutions’ responses to the Macroenvironment during both the 1997-98 Asian financial crisis and the 2007-09 US subprime financial crisis.Based on the findings, results show that these three Malaysian financial institutions handled both the 1997-98 Asian financial crisis and the 2008-09 US subprime financial crisis well.Despite instability in the macro-environment, these financial institutions took the opportunities in strengthening their competit...

  3. CRISIS LEADERSHIP - AN ORGANIZATIONAL OPPORTUNITY

    OpenAIRE

    James E. Prewitt; Richard Weil; Anthony Q. McClure

    2011-01-01

    Reactive leadership and crisis management have been synonymous for years. This flows from the belief that crisis is unpredictable and unexpected, which is simply not true. Crisis has its genesis in the values, beliefs, culture, or behavior of an organization which become incongruent with the milieu in which the organization operates. A leader, who is able to read the signals of looming crisis and understands how to harness the exigency brought on by the situation, can diminish the potenti...

  4. The Impact of Foreign Housemaids on the Children of Working Mothers: A Case Study from Jordan

    Science.gov (United States)

    Jabbar, Sinaria Kamil Abdel

    2014-01-01

    The role of grandparents and other close relatives in caring for the children of working mothers has been diminishing in modern societies everywhere including Jordan. Concurrently, the dependence on housemaids to care for the children of working mothers has been on the rise. The impact of housemaids on young Jordanian children (4-5 years old) was…

  5. A Study of Korean Working Mothers with Infants: Implications for Research and Social Policy

    Science.gov (United States)

    Seo, So-Jung

    2006-01-01

    The purpose of this study was to examine a broad range of variables that predict maternal self-efficacy with a sample of 92 Korean working mothers whose infants are cared for at non-maternal child care settings. In addition, differences between mothers of infants on welfare roll and their socioeconomic status (SES) counterparts (not on welfare)…

  6. Supportive Care.

    Science.gov (United States)

    Olsen, Pia Riis; Lorenzo, Rosalía

    2016-01-01

    This chapter takes its point of departure in psychosocial aspects of supportive care in adolescent and young adult cancer care. The purpose is to describe some of the challenges that these young people face following a cancer diagnosis and guide healthcare professionals in how to provide care that improves the quality of life. In most hospitals and healthcare systems, adolescents and young adults are cared for and treated in settings for children or adults. Accordingly, healthcare professionals may lack attention to and knowledge about what characterize young peoples' life situation, their special needs and how to meet them. The topics we include in the chapter are the following: the youth friendly environment, social support and social network, parents, information during a psychosocial crisis event, the use of HEADSS, peer support, fertility, body image and self-esteem, after treatment and future challenges and palliative and end of life care. PMID:27595353

  7. The correlation between stress and economic crisis: a systematic review.

    Science.gov (United States)

    Mucci, Nicola; Giorgi, Gabriele; Roncaioli, Mattia; Fiz Perez, Javier; Arcangeli, Giulio

    2016-01-01

    In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees' well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers' mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages).

  8. The correlation between stress and economic crisis: a systematic review.

    Science.gov (United States)

    Mucci, Nicola; Giorgi, Gabriele; Roncaioli, Mattia; Fiz Perez, Javier; Arcangeli, Giulio

    2016-01-01

    In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees' well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers' mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages). PMID:27143898

  9. Medicamentos e amamentação: atualização e revisão aplicadas à clínica materno-infantil Medicines and breastfeeding: update and revision applied to mother and baby care

    Directory of Open Access Journals (Sweden)

    Roberto Gomes Chaves

    2007-09-01

    medication". Recent material from textbooks and relevant papers were also used for this review. DATA SYNTHESIS: Medicines were classified according to the risk associated to lactation use. There is a lack of information about safety of a vast number of medicines by the nursing mothers. Amongst the medicines containing safety information for lactation use, most are considered safe and few are not recommended. Some drugs raise concerns regarding their effect in the reduction of milk production or in causing adverse effects in the breastfed infants. The use of stimulants of milk production is restricted to special situations, not common in the clinical practice. CONCLUSIONS: The frequent need of medication during lactation must raise some concern due to the well-known relationship between its use and weaning. Medical prescription for nursing mothers should be evaluated by risks versus benefits analysis. Currently, the knowledge of pharmacological characteristics of the available medication and the continuous updating about this subject are important tools to choose the medication. A careful assessment allows generally compatibility between medical treatment and breastfeeding.

  10. a Comparison Between Chemically Dependent Mothers and Drug-Free Mothers: Lifestyle during the Perinatal Period

    Science.gov (United States)

    Uskokovic, Lila Milica

    This study compared maternal lifestyle variables pertinent to the perinatal period in groups of chemically dependent mothers and drug-free mothers. Twenty-nine cocaine -abusing mothers were compared to 29 drug-free mothers carefully matched on age, race, education, and primipara versus multipara status. The drug history of each chemically dependent woman was explicitly documented. The chemically dependent group was subdivided into two groups, mothers who abused cocaine and those who abused cocaine with concomitant opiate use. Each of these two subgroups was compared to its respective matched drug-free control group. Finally, a comparison was made between the two drug subgroups. All subjects were interviewed within 48 hours after delivery using the following measures: State-Trait Anxiety Inventory (A-State), Center for Epidemiologic Studies - Depression Scale, The Self-Esteem Scale, Maternal Adjustment and Maternal Attitude Questionnaire, The Neonatal Perception Inventory, The Psychiatric Epidemiology Research Interview Life Events Scale, Maternal Social Support Index, and Short Marital Adjustment Test. A t-test analysis revealed significant differences (p abused opiates with cocaine did not differ from their controls on depression and maternal adjustment and attitudes. No significant differences were obtained in the drug subgroup comparisons. These results identify increased life events and specific negative affect states that clinical intervention programs should address to assure the best possible outcome for chemically dependent mothers and their infants.

  11. Downsizing, Competition, and Organizational Change in Government: Is Necessity the Mother of Invention?

    Science.gov (United States)

    Kelman, Steven

    2006-01-01

    One answer to the question of why government organizations don't perform better - common in academic "public choice" literature but also in folk wisdom--is that resources come too easily, independent of performance. Some business management literature suggests that a crisis in resource flows can force successful change--"necessity is the mother of…

  12. Educating to Care

    Science.gov (United States)

    Mortari, Luigina

    2004-01-01

    The root of the ecological crisis lies in an ethic of nature consumption. In order to reconstruct our cultural framework, it is necessary to cultivate another ethical approach, an ethic of care. It is the responsibility of school to encourage students to learn how to care for not only the human world, but also for the natural world. This paper is…

  13. Crisis Management Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.; Zhe, Elizabeth; Torem, Chris; Comeaux, Natashia; Dempsey, Allison

    2010-01-01

    This article presents a summary of recent crisis management publications. The first research report summarized, "Predictors of PTSD," was a study of predictor variables for responses to the World Trade Center attack. The second paper, "Effective Mental Health Response to Catastrophic Events," looked at effective responses following Hurricane…

  14. Managing a Crisis

    Science.gov (United States)

    Pierce, Dennis

    2016-01-01

    Planning ahead, practicing your response for various scenarios, being open and honest, showing empathy and respect for other peoples' perspectives and assuring stakeholders that you have the situation covered are the foundations of communicating successfully during a crisis, experts say. This article provides strategies for Community College…

  15. Lessons From The Crisis

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    The current worldwide economic recession is not the first of its kind and will not likely be the last. But what should we learn from it? Vinod Thomas, Director General of Independent Evaluation Group at the World Bank Group, discussed the lessons from the crisis during a speech at Peking University in Beijing on February 18. Edited excerpts follow.

  16. Unpacking the Global Crisis

    DEFF Research Database (Denmark)

    Juego, Bonn; Schmidt, Johannes Dragsbæk

    The paper hopes to contribute to a reading of the political economy of the current global crisis with a focus on four interrelated themes. First, we discuss the constitutive role and functional character of crises in the evolution of neo-liberalism in particular and in capitalist reproduction in ...

  17. Crisis, Kuhn, Fuller

    DEFF Research Database (Denmark)

    Jensen, Hans Siggaard

    2003-01-01

    Social Epistemology 17(2):197?201. 2003 Short description: In this paper Hans Siggaard Jensen looks at the concept of crisis as a central aspect of Kuhn?s theory of science, and relate it to Steve Fullers account of this theory as itself exemplary?not to say paradigmatic?for the understanding of...

  18. Trust vs. Crisis

    DEFF Research Database (Denmark)

    Mogensen, Kirsten

    2014-01-01

    to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968), Alf Ross Directives and Norms (1967), and Arthur G. Neal National Trauma...

  19. Financial Crisis Redux?

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Observers refute the start of a new Asian financial crisis sparked by Viet Nam’s financial and economic troubles It looked like a sudden nightmare when stockholders with hundreds of millions of Vietnamese dong found their pockets half empty overnight. The once prosper- ous bull market in Viet Nam plummeted to

  20. Crisis and Environmental Philosophy

    Directory of Open Access Journals (Sweden)

    Peter Wolsing

    2014-06-01

    Full Text Available Environmental ethics began in the 1960s with a growing awareness of coming environmental problems such as pollution and the projected shortage of resources caused by an acceleration in human’s technically based exploitation of nature. In addition to becoming an issue in public debate and in politics since the 1970s, the environmental crisis, which can be laid at the door of industrialization, calls for a more basic consideration of man’s attitude to nature. In this paper I give a short presentation of the concept of crisis in a selection of the principal classical critical philosophies of history and suggest that they all connect crisis to the oppression of man’s inner nature. I go on to sketch the idea of environmental crisis as an oppression of outer nature (the natural environment suggesting that a new, more nuanced organic concept of nature is needed as a condition for ascribing value to life on earth as a whole, which is what most non-anthropocentric ethical theories to some extent do.

  1. Breastfeeding policies and breastfeeding support programs in the mother's workplace.

    Science.gov (United States)

    Bettinelli, Maria Enrica

    2012-10-01

    Women should never be forced to make a choice between mother-work and other work. Many women mistakenly think they cannot breastfeed if they plan to return to work, and thus they may not talk with their employers about their intention to breastfeed or how breastfeeding might be supported at their workplace. All breastfeeding policies and strategies underline the importance of providing support for lactating mothers and highlight the need to promote specific interventions in the workplace. Possible strategies for working mothers include having the mother keep the baby with her while she works, allowing the mother to go to the baby to breastfeed during the workday, telecommuting, offering flexible work schedules, maintaining part-time work schedules, and using on-site or nearby child care centres. PMID:22958027

  2. Insights into the Ukrainian Crisis

    Directory of Open Access Journals (Sweden)

    Costel Daniel Arfire

    2014-05-01

    Full Text Available Political crises are increasingly frequent and devastating not only for the population of a state, but also for the international diplomacy. Such an example is the ongoing Ukrainian crisis. Starting from S. Fink‘s life cycle of a crisis and T.W. Coombs‘s crisis response strategies, I will analyse the evolution of the Ukrainian crisis and the crisis response strategies of three major international actors: Vladimir Putin, Barack Obama and Angela Merkel. The findings of my study will prove that the denial strategy prevails in Putin‘s statement, whereas Obama uses the diminish strategy and Merkel focuses on the bolstering strategy.

  3. Infant mortality and crisis in Mexico.

    Science.gov (United States)

    Bronfman, M

    1992-01-01

    Data derived from the Encuesta Nacional de Fecundidad y Salud (ENFES) confirm that overall levels of infant mortality in Mexico have been steadily declining. However, a more specific analysis furnishes evidence that this decline has occurred at varying rates within different social groups, reflecting an increase in social inequalities. The analytical strategy used in this article leads to three basic conclusions: (1) the impact of the economic crisis on infant mortality is reflected not in a reversal of the declining trend but an increase in social inequalities; (2) certain variables universally accepted as determinants of infant mortality, such as mother's education, seem nonsignificant for some social sectors; and (3) certain biodemographic characteristics assumed to have a uniform mortality-related behavior vary among sectors, suggesting that even these constants are determined by social factors.

  4. Collection for Refugee and Migration Crisis

    CERN Multimedia

    Rolf Heuer, Director-General,

    2015-01-01

    Dear Colleagues, In response to the current refugee and migration crisis, we are starting a collection today and we are calling on your generosity. The funds will be forwarded to the International Federation of Red Cross and Red Crescent Societies to respond to the humanitarian needs of the refugees and migrants, providing immediate and longer-term relief, including emergency medical care and basic health services, psychological support, temporary shelter, distribution of food & water and other urgently needed items. We hope that your contributions to the above-mentioned appeal will not prevent you from sparing a thought for them and doing whatever you can to help them. Bank account details for donations: Bank account holder: Association du personnel CERN - 1211 GENEVE 23 Account number: 279-HU106832.1 IBAN: CH85 0027 9279 HU10 6832 1 BIC:  UBSWCHZH80A Please mention: Refugee and Migration Crisis

  5. [Eight characteristics of leaders in crisis management].

    Science.gov (United States)

    Yen, Miaofen; Fang, Szu-Ting

    2006-02-01

    Everything is changing in our daily life. The ancient Chinese philosopher, Sun Tzu, said "The art of war teaches us to rely not on the likelihood of the enemy's not coming, but on our own readiness to receive him". In the challenging environment of today, nursing administrators should prepare themselves by developing a range of skills to face the changing world. This article introduces Chinese and Western leadership theories and suggests eight key characteristics of successful leaders in health care. Equipped with these characteristics, nursing leaders should be able to collaborate with other professionals in their organization to manage any crisis. Success in crisis management also enhances an organization's general potential to succeed in this competitive world.

  6. The financial crisis in Italy: implications for the healthcare sector.

    Science.gov (United States)

    de Belvis, Antonio Giulio; Ferrè, Francesca; Specchia, Maria Lucia; Valerio, Luca; Fattore, Giovanni; Ricciardi, Walter

    2012-06-01

    The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and the main responses taken to face the crisis and highlights the downside risks of introducing "linear" cuts in the allocation of resources. While justified by the risk of a national debt default, present fiscal policies might increase inequalities in access to care, deteriorate overall health indicators and population wellbeing, and sharpen existing difference in the quality of care between regions. Preliminary evidence shows that the crisis is affecting the quality of nutrition and the incidence of psychiatric disorders. During this difficult financial situation Italy is also facing the risk of a major reduction in investments for preventive medicine, Evidence Based Medicine infrastructures, health information systems and physical capital renewal. This cost-cutting strategy may have negative long term consequences Also, important achievement in terms of limiting waiting lists, improving continuity of care and patients' centeredness, and promoting integration between social and health care may be negatively affected by unprecedented resources' cuts. It is essential that in such a period of public funding constraints health authorities monitor incidence of diseases and access to care of the most vulnerable groups and specifically target interventions to those who may be disproportionally hit by the crisis. PMID:22551787

  7. The financial crisis in Italy: implications for the healthcare sector.

    Science.gov (United States)

    de Belvis, Antonio Giulio; Ferrè, Francesca; Specchia, Maria Lucia; Valerio, Luca; Fattore, Giovanni; Ricciardi, Walter

    2012-06-01

    The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and the main responses taken to face the crisis and highlights the downside risks of introducing "linear" cuts in the allocation of resources. While justified by the risk of a national debt default, present fiscal policies might increase inequalities in access to care, deteriorate overall health indicators and population wellbeing, and sharpen existing difference in the quality of care between regions. Preliminary evidence shows that the crisis is affecting the quality of nutrition and the incidence of psychiatric disorders. During this difficult financial situation Italy is also facing the risk of a major reduction in investments for preventive medicine, Evidence Based Medicine infrastructures, health information systems and physical capital renewal. This cost-cutting strategy may have negative long term consequences Also, important achievement in terms of limiting waiting lists, improving continuity of care and patients' centeredness, and promoting integration between social and health care may be negatively affected by unprecedented resources' cuts. It is essential that in such a period of public funding constraints health authorities monitor incidence of diseases and access to care of the most vulnerable groups and specifically target interventions to those who may be disproportionally hit by the crisis.

  8. The Chinese Tiger Mother

    OpenAIRE

    Jacek Hołówka

    2011-01-01

    In 2010 a book by Amy Chua: Battle Hymn of the Tiger Mother was published and it sparked a broad discussion among pedagogues and the open society about the factors determining educational success. Chua forms a simple and provocative thesis – the Chinese mothers are the best in the world because they don’t spoil their children, quickly introduce them into the adult culture, have high expectations of them, they are brusque and cold but they teach their children how to survive and be competitive...

  9. Mother and child constructions of risk in outdoor play

    OpenAIRE

    Allin, Linda; West, Amanda; Curry, Stephanie

    2014-01-01

    Managing the risks to which children are exposed in contemporary Britain is complex, requiring parents to balance opportunities for a child’s development with an appropriate concern for the potential consequences. Managing risk is particularly an issue for mothers, who, despite societal changes, tend to retain overall responsibility for the care of children. This paper explores the meanings mothers attach to risk and how this influences their children’s outdoor play. It also extends the scope...

  10. Sentimentos e percepções de puérperas com relação à assistência prestada pelo serviço materno-infantil de um hospital universitário Mother's feelings and perceptions of the obstetric-neonatal care in an a terciary level teaching hospital

    Directory of Open Access Journals (Sweden)

    Ligia Maria Suppo de Souza Rugolo

    2004-12-01

    Full Text Available OBJETIVOS: avaliar percepções e sentimentos de puérperas adultas e adolescentes, relacionados ao filho e a assistência materno-infantil, em hospital universitário de nível terciário. MÉTODOS: estudo transversal, envolvendo 180 puérperas, no Alojamento Conjunto (AC e no Berçário Interno (BI do Hospital das Clínicas da Faculdade de Medicina de Botucatu , entrevistadas no segundo e terceiro dia pós-parto e distribuídas em três grupos: adultas primíparas, adultas multíparas e adolescentes. Para comparação entre grupos e locais de internação utilizou-se o chi2 ou teste de Fisher. RESULTADOS: ultrasom obstétrico e cardiotocografia tiveram impacto positivo na emoção materna. Houve pouca diferença entre os grupos quanto aos sentimentos antes e após o parto, sendo felicidade, amor, responsabilidade, ansiedade e medo os mais freqüentes. A culpa predominou nas adolescentes do BI. As percepções relacionadas ao filho, a avaliação da assistência e equipe, não diferiram entre adultas e adolescentes. Nas duas enfermarias o relacionamento entre mães e cuidadores foi bom, as mães mostraram-se satisfeitas com a equipe e a assistência, mas o aleitamento materno foi pouco valorizado e poucas mães conheciam o médico. CONCLUSÕES: está ocorrendo um processo de humanização na assistência materno-infantil deste hospital universitário, mas alguns aspectos precisam ser melhorados, especialmente a valorização do aleitamento materno e a individualização no contato médico-paciente.OBJETIVOS: to evaluate mother's (adults and adolescents feelings and perceptions about their infants and the obstetric-neonatal care in a terciary level teaching hospital. METHODS: cross-sectional survey. 180 mothers were interviewed two and three days postpartum, in the maternity wards and nurseries of the Hospital das Clínicas- Faculdade de Medicina de Botucatu and distributed in three groups: adult multiparous, adult primiparous and adolescents

  11. Mothers in Honors

    Science.gov (United States)

    Killinger, Mimi; Binder-Hathaway, Rachel; Mitchell, Paige; Patrick, Emily

    2013-01-01

    This article describes the experiences of four honors mothers as they offer sage advice. They argue convincingly that they are motivated, focused students who bring rich diversity to college programs. They further report disturbing marginalization and isolation that could be ameliorated with support and increased sensitivity on the part of…

  12. Mothers, work and childcare

    NARCIS (Netherlands)

    Ingrid Ooms; Evelien Eggink; Edwin van Gameren

    2007-01-01

    Original title: Moeders, werk en kinderopvang in model. The government wants women to go out to work more. The choices made by women between working and looking after children are accordingly receiving a great deal of attention. This report describes which factors influence these choices by mothers

  13. My Mother and Me

    Institute of Scientific and Technical Information of China (English)

    WANGQIAN

    2003-01-01

    I was born in 1982, in the Yimeng mountain area of Shandong Province, one of the poorest regions in east China. The local people there till have a feudalistic mentality,md firmly believe that men are superior to women. Living in such an environment, my mother and I have had to struggle hard to live a decent life.

  14. Our Mother Corn.

    Science.gov (United States)

    Mathers, Sherry; And Others

    Developed to provide an understanding of the magnitude of the role of corn, referred to as Mother Corn in the cultures of the Seneca, Pawnee, and Hopi tribes, the student text provides information on the tribes' basic lifestyles and the way they grew and used corn in three different parts of the United States. The section on the origin of corn…

  15. Information for Working Mothers

    OpenAIRE

    Montgomery, Kristen S.

    2002-01-01

    Women are entering, staying, or returning to the workforce following childbirth in increasing numbers. They report various amounts of success in the workplace after they become mothers. This column presents a review of five Web sites that provide useful resources to working Moms.

  16. The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania

    Directory of Open Access Journals (Sweden)

    Leshabari Sebalda

    2011-07-01

    Full Text Available Abstract Background In the Kilimanjaro region the mother-in-law has traditionally had an important role in matters related to reproduction and childcare. The aim of this study was to explore the role of the mothers-in-law in prevention of mother-to-child transmission (PMTCT service utilization and adherence to infant feeding guidelines. Methods The study was conducted during 2007-2008 in rural and urban areas of Moshi district in the Kilimanjaro region of Tanzania. Mixed methods were used and included focus group discussions with mothers-in-law, mothers and fathers; in-depth interviews with mothers-in-law, mothers, fathers and HIV-infected mothers, and a survey of 446 mothers bringing their four-week-old infants for immunisation at five reproductive and child health clinics. Results The study demonstrated that the mother-in-law saw herself as responsible for family health issues in general and child care in particular. However she received limited trust, and couples, in particular couples living in urban areas, tended to exclude her from decisions related to childbearing and infant feeding. Mothers-in-law expected their daughters-in-law to breastfeed in a customary manner and were generally negative towards the infant feeding methods recommended for HIV-infected mothers; exclusive replacement feeding and exclusive breastfeeding. Conclusions Decreasing influence of the mother-in-law and increasing prominence of the conjugal couples in issues related to reproduction and child care, reinforce the importance of continued efforts to include male partners in the PMTCT programme. The potential for involving mothers-in-law in the infant feeding component, where she still has influence in some areas, should be further explored.

  17. Spirituality, Crisis, and Illusions

    Directory of Open Access Journals (Sweden)

    LOSONCZ, Alpar

    2016-03-01

    Full Text Available This article deals with the structural interpretations of the ongoing crisis. The author considers the approaches of Joseph Alois Schumpeter and Tibor Scitovsky that thematize the long-run destiny of capitalism. The viewpoint is constituted as the relation between the structural socio-economic tendencies and existential constellations. What is addressed by the crisis is capitalism as a dependent system. The author emphasizes that capitalism cannot survive without the outside sphere, reciprocal interactions, economics of community, eco-system and complex eco-social moments. This can be applied to the frequently mentioned embeddedness which is related to Polanyi and other researchers who are influenced by Polanyi’s concepts. Embeddedness can be analyzed through the holon, from the inside perspective. Only comprehensive perspective enables to see the entire horizon, since capitalism cannot summarize the eco-system, not even with the most sophisticated techniques that recognize monetary expressions.

  18. Interaction during feeding times between mothers and malnourished children under two years of age

    Directory of Open Access Journals (Sweden)

    Paula Chuproski Saldan

    2015-01-01

    Full Text Available This study sought to understand the relations between mothers and malnourished children at feeding times. It is an exploratory study with qualitative data analysis. Data collection was performed at home by means of participant observation with eight mother-child dyads and three grandmothers. Based on the thematic analysis, the following themes emerged: food and interaction; day-to-day care of the child. The families' life situation was unfavorable. Mothers and grandmothers were responsible for preparing family meals, feeding and child care. The mother-child relationships were permeated by gestures of affection, slaps, scolding, and threats during feeding and there were cases of negligence, physical and psychological violence in daily care. Some mothers and grandmothers spoke quietly and cared for the child to be fed and cleaned while others mothers showed little patience for dealing with the child and they became easily irritated. Mothers' life stories were marked by adverse events and most of them faced emotional problems that could have repercussions in relationships with children at feeding times and in daily care. The mother-child interactions at home do not always favor feeding and responsive care, which may further worsen the nutritional status of these children.

  19. Averting a Future Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ The world has left the worst of the financial crisis behind,but memories of the meltdown have barely faded.But what made the world's economy so vulnerable,and what kinds of lessons can we draw from it? Yi Gang,Deputy Governor of the People's Bank of China and Administrator of the State Administration of Foreign Exchange,discussed these issues in a speech at the Lujiazui Forum 2010 held in Shanghai on June 25-26.Edited excerpts follow:

  20. Crisis, Imbalances, and India

    OpenAIRE

    Kumar, Rajiv; Vashisht, Pankaj

    2011-01-01

    With the revival of global economy, the issues of “exit policies” and rebalancing global growth have taken center stage in policy discussions. Since many emerging Asian economies presently have large current account surpluses, the issue of rebalancing has special significance for Asia. While India, like other Asian economies, suffered only an indirect impact from the financial crisis, its current policy challenges appear to be different from those facing the People’s Republic of China (PRC) a...

  1. CRISIS AND RISK MANAGEMENT

    OpenAIRE

    Popescu, Angela; Stefanescu, Roxana

    2009-01-01

    The main causes of economic crisis are unfavorable evolution of the macro-economic behavior and poor uncautious corporate governance of banks and authorities in decisions involving the granting of loans by banks and mixing factor in a political activity which must be held in essentially on economic criteria. Risk management is the art of making decisions in a world governed by uncertainty. Risk management is a process of identification, analysis and response to risks to which an organization ...

  2. Mexico's Fiscal Crisis

    OpenAIRE

    Looney, R.E.

    1987-01-01

    Socio-Economic Planning Sciences, vol. 21, no.6, 1987. Refereed Journal Article Mexico's current crisis has its origins in a number of structural conditions that developed in the 1970s. This paper examines one of these structural impediments, the country's fiscal disequilibrium. An empirical analysis of the country's tax structure indicates that there is ample scope for major tax reforms geared to introducing more responsiveness into the country's tax collection system. Given t...

  3. ABOUT THE CRISIS MARKETING AND THE CRISIS OF MARKETING

    OpenAIRE

    PAULA CORNELIA MITRAN; MIHAELA BEBESELEA

    2011-01-01

    The global economical-financial crisis has sometimes reached unpredictible peaks. To think that a theoretical and practical approach can take on the role of a universal remedy becomes obsolete. But to believe in the overcoming of the current limits of such approach is extremely necessary. To adapt strategies of marketing to crisis times, in order to communicate with the marketing environment about the crisis, to make everything function better they impose the respect of a rigorous discipline ...

  4. Second Episode of the Global Crisis: 2011European Debt Crisis

    Directory of Open Access Journals (Sweden)

    Zafer SEZGİN

    2012-06-01

    Full Text Available Measures for 2008 Global Economic Crisis cause a new crisis at 2011. Irreducible budget deficit, decreasing economy, great debt stock cause concern about sustainability of debt for some European economies. For ceasing ecomomic crisis, ECB takes some monetary policy measures; EFSF and monetary expansion are in place. This article aims to explain existing and oncoming conditions of European economies. Methodology is setting representative and containing suitable period data set from primary resources.

  5. Causes and consequences of the Spanish economic crisis: Why the recovery is taken so long?

    Directory of Open Access Journals (Sweden)

    Carballo-Cruz Francisco

    2011-01-01

    Full Text Available Spain is currently facing its worst crisis in the last fifty years. The crisis began as an extension of the international financial crisis, but the internal imbalances accumulated in the pre-crisis period aggravated the situation. At present their incomplete adjustment is making difficult the economic recovery. This paper describes the evolution of the economic crisis in Spain. The real estate sector and the banking sector are analyzed in detail, as they played a key role in the detonation and the deepening of the crisis. The results of the main reforms carried out so far are also carefully examined. It also discusses the main factors that have delayed the economic recovery up to now (unemployment and indebtedness, and present some alternatives to define an exit strategy.

  6. Iran, the crisis situation

    International Nuclear Information System (INIS)

    This book is an updated edition of a previous book by the same author: 'Iran and the nuclear: the Persian torments'. The author addresses the Iranian nuclear crisis within an historic perspective, and states that this crisis has its roots in the recent Iranian history, but has deeper origins before the Islamic Revolution of 1979. In a first part, he draws a portrait of Iran by opposing current myths and realities like Persia and an actual ethnic diversity, an oil-based wealth in a context of under-development, tyranny and an actual political complexity. He also analyses the Iranian geo-strategy and its recent evolutions, the relationships and attitudes towards the three Satans (USA, France and Israel), and describes the main evolutions of the Iranian defence, notably after 9/11. The second part describes the long evolution of the Iranian nuclear programme, from its beginning at the time of the Shah, until now (projects, programmes and realities of the Iranian electronuclear industry), and recalls the different steps of the nuclear crisis between 2002 and 2006. The third part is a prospective one. The author discusses several aspects of the conflict (power balance, rumours and threats, sanctions and military scenarios, Iranian retaliation capacities) and discusses what a nuclear Iran would be (its capacities, its objectives, geo-strategic consequences of a nuclear Iran, and remaining opportunities for negotiations)

  7. Revisiting the financial crisis

    Institute of Scientific and Technical Information of China (English)

    黄明

    2009-01-01

    Recently,the media and commentators have saturated us with talk of the subprimeinduced financial debacle. Yet,some basic questions remain unanswered:why did almost all of the"market doorkeepers"fail to function in the crisis? Why did the financial intermediaries,such as investment banks selling complex derivatives,go under? Why did the crisis cause such far-reaching repercussions? What seed did U.S.Treasury Secretary Henry Paulson sow for the fiasco to rage globally? What does the future hold for financial regulation? In the face of the tempestuous"financial tsunami,"what lessons should China learn and how should the country develop a more secure capital market? Unlike other macroeconomists, Dr.Huang Ming proceeds from a micro perspective to sort out the financial mess along the logical chain within the capital market.In this interview,Dr.Huang presents a clear and unsettling look at the breakout,transmission and spreading path of the financial crisis

  8. Nuclear crisis management

    International Nuclear Information System (INIS)

    Renewed interest in crisis management is caused by a growing recognition that a failure of communication between the superpowers in the face of a crisis provoked by some third party could issue in a nuclear war, other causes of this renewed interest are the fear of miscalculation and runaway escalation if the US and Soviet Union are drawn into a regional war in which each had vital interests and a concern that a missile might be fired on either side by accident or without proper authorization despite precautions. The authors, stating that crisis prevention should be viewed as an objective, not as a strategy, support the establishment of a joint US-Soviet nuclear risk control center designed to carry out four functions: (1) to facilitate communications between the two countries, (2) to avert nuclear confrontations during periods of accelerating tension, (3) to serve as an exchange of confidence building information during normal periods, and (4) to serve as a joint management center to plan for responses to terrorist or other third party group

  9. Benefícios da permanência de participação da mãe no cuidado ao filho hospitalizado Beneficios de la permanencia de participación de la madre en el cuidado al hijo hospitalizado Benefits of mothers' permanence and participation in the care for their hospitalized child

    Directory of Open Access Journals (Sweden)

    Rosemeire Cristina Moretto Molina

    2009-12-01

    ón por el poder cuidar del hijo. Es preciso que los enfermeros repiensen su comportamiento en lo que se refiere a la madre acompañante y adopten actitudes que favorezcan su participación en el cuidado del hijo hospitalizado.The purpose of the present study was to identify, according to the mothers' perspective, the benefits related to her permanence and participation in the care for her child hospitalized at a Pediatric Intensive Care Unit (PICU. The theoretical framework was Cross-cultural Nursing Theory, and the methodological framework was the assistant convergent research approach. Data was collected from six mothers of children hospitalized at a PICU of a University Hospital, in the period from January to May 2007, through interviews and active observation. Analysis was conducted following four generic processes: collection, synthesis, theorization and application. The results evidenced that the mothers' presence and care increased the attachment between mother and child, increased mothers' confidence, and made the child calmer. This produced positive feelings such as joy and satisfaction for being able to care for their child. Nurses should review their behavior toward the mothers accompanying their child at the hospital, and adopt attitudes that support her participation in the care for her hospitalized child.

  10. CRISIS LEADERSHIP - AN ORGANIZATIONAL OPPORTUNITY

    Directory of Open Access Journals (Sweden)

    James E. Prewitt

    2011-09-01

    Full Text Available Reactive leadership and crisis management have been synonymous for years. This flows from the belief that crisis is unpredictable and unexpected, which is simply not true. Crisis has its genesis in the values, beliefs, culture, or behavior of an organization which become incongruent with the milieu in which the organization operates. A leader, who is able to read the signals of looming crisis and understands how to harness the exigency brought on by the situation, can diminish the potential dangers and take full advantage of the resulting opportunities. This paper presents a generic crisis lifecycle as a representation of overall crisis. Since a crisis can be broken down into three unique phases, crisis lifecycles can be understood and utilized for the benefit of the organization. In the first phase of the lifecycle, the organization finds itself mired in a static phase which equates to a comfort zone. In this first phase leaders struggle when they attempt to introduce change or learning due to the organizations preference to avoid conflict and maintain stasis. When a crisis engulfs an organization then the stasis that envelops the organization evaporates and gives rise to the second phase or the disaster phase. The disaster phase often threatens the very existence of the organization. When the organization successfully eliminates the immediate organizational threat, the organization is able to enter the adjustive phase of the crisis lifecycle. In this third phase, the leader has the undivided attention of the organization and the underlying urgency to solve the issues that led to the crisis in the first place. Regrettably, many leaders don’t take advantage of this golden opportunity and push the organization back toward the status-quo which ensures that the crisis will return in force. The study of crisis leadership has become more important since the dawn of the new millennium because leaders in all areas face differing degrees of crisis in

  11. Asia: A Perspective on the Subprime Crisis

    OpenAIRE

    Khor, Hoe Ee; Kee, Rui Xiong

    2008-01-01

    The authors, from the Monetary Authority of Singapore, examines the current crisis through the lens of the financial crisis that hit Asia in 1997. They discuss lessons that industrial countries can take from the Asian crisis and lessons Asian countries can learn from the subprime crisis. They also examine the reasons for Asia's resilience, so far, to the financial crisis.

  12. The efficiency of emerging Europe’s banking sector before and after the recent economic crisis

    Directory of Open Access Journals (Sweden)

    George Anayiotos

    2010-09-01

    Full Text Available This paper provides estimates for the relative efficiency of banks in emerging Europe before the recent boom, just before the crisis, and right after the crisis, using a Data Envelopment Analysis (DEA. The results suggest that DEA efficiency scores before the recent crisis were strongly linked to the host country’s level of development; were higher for foreign-owned banks; but did not stand out for bank groups with a presence in more than one country. The results also suggest that bank efficiency increased during the precrisis boom, but fell during the crisis. Finally, foreign-owned banks in emerging Europe seem to be less efficient than their mother banks, suggesting that although they may bring some efficiency benefits to their host country, they are highly affected by the local business and operational environment.

  13. Teen mothers, unintended pregnancies, and costs across Delaware.

    Science.gov (United States)

    Maiden, Kristin; Gunter, Whitney D; Martin, Steven S; Ehrenthal, Deborah B

    2014-04-01

    The present study used data from several sources to 1) present information on mothers and births in a single state (Delaware); 2) present cost data to estimate health-related birth real costs; and 3) use the data to estimate the costs and impact on mothers, health care providers, and taxpayers. In addition, this study explicitly examined costs of births through the lens of unplanned/unintended teen and young adult births. Concomitantly, the medical cost of these pregnancies for most of these young mothers who had not wanted to be pregnant at the time, was paid for through the state's Medicaid program. The percentage of Medicaid funded births was much higher for young mothers than for older mothers. Ultimately, it was estimated that young teen (age 17 and under) births cost about $4.0 million each year, older teens (18-20) births $14.0 million, and young adults (21-24) over $26 million. The State funded almost 75 percent of the health care costs of young teen pregnancy prenatal care, deliveries, and newborn care, through Medicaid. And over 75 percent of these Medicaid costs are for births that were unintended at the time. The cost of unintended teen and young adult births funded through Medicaid in Delaware was approximately $25 million annually.

  14. Music-caring within the framework of early intervention:The lived experience of a group of mothers of young children with special needs, participating in a music therapy group

    OpenAIRE

    Jonsdottir, Valgerdur

    2011-01-01

    Despite developments in the field of early intervention, and an increase in the variety of available services and number of specialists equipped to assist, the needs of caretakers of children with disabilities in times of crisis have not received enough attention. It seems that too often caretakers themselves get lost in the role given to them as their infants‟ best specialists, and in the emphasis which is placed on their children‟s developmental milestones. The caretakers and the potential ...

  15. Successful Ways for Crisis Management

    Institute of Scientific and Technical Information of China (English)

    ByHuYuyue; LiLiang

    2004-01-01

    In the past spring and summer, the burst of SARS crisis had a negative influence on people's daily life and enterprises'business. Under the impact of SARS, leaders of enterprises had personally known more of a word——crisis, and at the same time they had thought of another concept——crisis management. But if we try to comorehend it from another point of view.

  16. Teenage mothers and their infants.

    Science.gov (United States)

    Badger, E

    1985-06-01

    The outcomes of the IS/MT pilot project and the expanded services program as well as program replications in other geographic areas suggest that efforts to support the teenage mother in the care of her firstborn infant can have a demonstrable effect. Completing school, securing employment, going off welfare, and acting on a decision to prevent subsequent unwanted pregnancies were all secondary effects of a 20-week postnatal mother-infant class program designed to positively influence infant development. Similar treatment effects have been reported by IS/MT replications in St. Louis and Genesee County, Michigan. Other program innovations, however, lacking the funds and/or the expertise to conduct adequate evaluations, are nonetheless significant because they provide a groundswell capable of establishing a climate for social change. At the community level, this is expressed in the creation of new service paradigms, as in Norfolk and Memphis, where individuals and agencies are transformed and experiment with new solutions to thorny problems. At the national level, it is expressed in coalitions and political alliances around a single issue, as with the Children's Defense Fund and adolescent and single-parent families. As one who has spent almost 20 years addressing the consequences of teenage parenthood, it is heartening to know that the time is near to address the prevention of the problem. Let us hope that the Children's Defense Fund agenda accurately reflects the beliefs and feelings of the majority of our citizenry and that our national priorities will change to include the reduction of teen pregnancy and teen parenthood. PMID:2410176

  17. The correlation between stress and economic crisis: a systematic review

    Directory of Open Access Journals (Sweden)

    Mucci N

    2016-04-01

    Full Text Available Nicola Mucci,1 Gabriele Giorgi,2 Mattia Roncaioli,3 Javier Fiz Perez,2 Giulio Arcangeli11Department of Experimental and Clinical Medicine, University of Florence, Florence, 2Department of Psychology, European University of Rome, Rome, 3Department of Biomedical Sciences for Health, University of Milan, Milan, ItalyAbstract: In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees’ well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers’ mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages.Keywords: economic crisis, recession, work-related stress, mental health, risks assessment, occupational medicine

  18. Crisis management can leave residual effects.

    Science.gov (United States)

    Margolis, G L; DeMuro, P R

    1991-10-01

    A healthcare organization that once suffered from poor financial performance may fail to correct recovery methods that can cause lingering legal and accounting problems. A crisis management style is prone to creating problems with an organization's debt structure, Medicare and Medicaid payment, tax issues, labor relations, licensing and accreditation, compliance with fraud and abuse rules, and accounting for charity care. After stabilizing a worrisome financial situation, a healthcare organization should conduct an internal audit to ensure that its legal and accounting practices remain above board.

  19. Parenting attitudes of addict mothers.

    Science.gov (United States)

    Wellisch, D K; Steinberg, M R

    1980-08-01

    Parenting attitudes of female heroin addicts were investigated in a single factor design which compared addict mothers, addict non-mothers, nonaddict mothers, and nonaddict nonmothers. A principal components factor analysis was performed on the PARI and used as the dependent measure. A factor labeled "authoritarian overinvolvement" emerged which significantly differentiated between groups. Further, the effects of mothering and addiction proved to be additive such that addict mothers were extremely high on this scale. This result was discussed in terms of the parental home environment of addict women.

  20. Child Care Centres.

    Science.gov (United States)

    Australian Dept. of Labour and National Service, Melbourne. Women's Bureau.

    Based on a survey of legislation relating to full-day care for preschool children of working mothers and a study of records, this report: (1) covers the number of registered child care centers in Australia and the number of children being served, (2) sets the conditions applying to registration of centers, (3) indicates the extent and levels of…

  1. A Letter to Mother

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    MOTHER, I remember the day I left you to emigrate to the United States. We were hugging sadly in your room while the taxi waited to take my husband, my son and me to the airport. My heart was broken by the thought that I might never see you again. On the plane, I could hear your voice : "" Do not worry about what you have left behind. Look forward and be a strong woman.

  2. Qualities of adolescent mothers' parenting.

    Science.gov (United States)

    East, P L; Matthews, K L; Felice, M E

    1994-03-01

    This study examined the interrelations among adolescent mothers' parenting attitudes, parenting confidence, and parenting stress and the potential differences in these dimensions by mothers' age, race, and parity, and age and sex of child. Subjects were 119 former adolescent mothers (mean age = 20.2 years) from predominantly poor, minority backgrounds (50% Hispanic, 27% African American, 17% non-Hispanic White). All subjects completed questionnaires about their parenting qualities twice an average of 10 weeks apart. All children were at least 1 year of age (mean age = 37.2 months; range 12-50 months). Subjects' parenting attitudes were assessed by the Adult-Adolescent Parenting Inventory, a 32-item questionnaire. The Maternal Self-Report inventory was used to assess the mothers' self-esteem or their confidence in the mothering role. To assess the stress experienced with parenting, the Parenting Daily Hassles scale was used. Results indicated that for some mothers there exists a triple jeopardy of low parenting confidence, high parenting stress, and inappropriate parenting values. Mothers who reported feeling high parenting stress had low confidence in themselves as mothers, low empathy to their children's needs, and low acceptance of their children. Mothers who were older at the time of the study placed greater value on physical punishment and had less confidence in their caretaking abilities. Young maternal age at delivery and young maternal age at the time of this study were associated with low child acceptance. Non-Hispanic White mothers had significantly more favorable parenting values (greater empathy to child's needs and less value of physical punishment) than did African-American and Hispanic mothers, and African-American mothers reported significantly greater caretaking confidence than did Hispanic mothers. No parity or sex of child effects were found. These results suggest the presence of meaningful patterns of convergence and within-group variation for

  3. The neonatal nurse: advocating for breastfeeding mothers.

    Science.gov (United States)

    Darby, Colm; Nurse, Sharon

    2016-02-01

    Accurate information and support from healthcare professionals as well as respect for parental choice are all factors which contribute to effective breastfeeding in the neonatal unit; with this in mind, Colm Darby and Sharon Nurse discuss the potential problems in expressing breast milk and the interventions which might be effective in avoiding them. Advocacy is an inherent part of neonatal nurses' role whilst caring for sick, vulnerable babies. Colm Darby is a male neonatal nurse working in a predominantly female environment and passionately believes in supporting and advocating for mothers who want to provide breast milk for their babies. In this article, CoIm uses Borton's model of reflection to discuss how he acted as an effective advocate for such a mother.

  4. MOTHERS PRACTICING PROSTITUTION AND CHILDREN'S RIGHTS

    Directory of Open Access Journals (Sweden)

    Ana-Maria MANDIUC

    2014-04-01

    Full Text Available A large number of women who practice prostitution get pregnant and have the child. When a mother continues practicing prostitution, while at the same time trying to fulfill parental responsibilities, the child’s rights could end up being violated because of the characteristics of the two roles the woman adopts. The present paper presents the case study of a child of schooling age and whose mother practiced prostitution. The child was put in foster care after the mother’s death and the case study follows his evolution from birth until the research started, the focus of the study revolving around the four fundamental rights of the child: the right to be raised by the parents, the right to education, the right to health and the right to protection against abuses.

  5. The Administration's Crisis Multiplied by the Crisis of the Administrated

    Directory of Open Access Journals (Sweden)

    Alina Livia NICU

    2014-11-01

    Full Text Available The starting point of this work is the idea that the concept of “crisis” should be approached with no fear. It is necessary to understand it as the signal which attracts attention upon the fact that some changes are appropriate and that some rationally thought actions ought to be taken in order to soften the social phenomena occurring within a crisis period. We may say that in the core of the crisis lies impregnated the basic substance of progress and that the moment when a crisis is declared is as well the moment of a new start. It is necessary to anticipate the crisis, in order to prepare the adequate means able to soften up the shocks created by its incipit and to bring forward the progress through its action itself. One of the most necessary and useful instruments able to smooth down the crisis' effects is the early education provided to the citizens concerning the frame of the behavior to be adopted in case of crisis. The officials and the public servants are the social actors who constitute the interface between the citizen who is going to suffer the crisis and this latter's exerted pressure. The personnel from the public administration has to assume the hardest role in reducing the most possible the crisis' effects. Some possibilities are analysed that could reduce the effects of the economical, social and political crises, among which the most important is the quality of juridical norms. The Romanian legislation concerning the public charge is studied, in respect to its capacity to motivate the public servant to perform at his up most level, during crisis periods but not only then. The idea is emphasized that panic and uncontrolled social movements in case of a crisis might lead to the multiplying of the negative effects. The personnel from the public administration comes to a direct confrontation with the pressure of the negative effect of the crisis, as it is received by the public administration - understood as a structure

  6. The Chinese Tiger Mother

    Directory of Open Access Journals (Sweden)

    Jacek Hołówka

    2011-12-01

    Full Text Available In 2010 a book by Amy Chua: Battle Hymn of the Tiger Mother was published and it sparked a broad discussion among pedagogues and the open society about the factors determining educational success. Chua forms a simple and provocative thesis – the Chinese mothers are the best in the world because they don’t spoil their children, quickly introduce them into the adult culture, have high expectations of them, they are brusque and cold but they teach their children how to survive and be competitive. Chua shows this educational model as a contrast to the Western model, where the children have their own, naive and sentimental culture, their own shops and catwalks in shopping malls. The results of systematic research on education seem to prove something quite different. The educational success has to be measured using different scales, because it depends on different factors. The data published by OECD show that the level of education depends on the educational tradition of the society, level of GDP, intergenerational contacts, level of education of teachers and their social status. A strong determiner is the family, but not necessarily the mother. Even more, there is a strong correlation between the results in learning and a supporting stance of the parents, but also with their habit of spending free time with their children. The parents who take their children to the cinema, an a trip, gossip with them or take them to McDonalds, can be sure that their children will have statistically higher than the average grades. Detailed results from other sources show that success correlates the most with grades from previous class, parents’ habit of talking about things at school, higher education of the parents, being a child of a single mother, signing the child up for extracurricular classes from music and the mother working part-time. Failure correlates with being an Afro-American or Latino, checking homework by parents, free time after school without

  7. [Crisis in medical ethics].

    Science.gov (United States)

    Stellamor, K

    1996-01-01

    There is a disproportion between diagnostic and therapeutic medical achievements and the doctor/patient relationship. Are we allowed to do everything we are able to do in medicine? People are concerned and worried (genetic technology, invasive medicine, embryos in test tubes etc.). The crisis of ethics in medicine is evident. The analysis of the situation shows one of the causes in the shift of the paradigma-modern times to postmodern following scientific positivism-but also a loss of ethics in medicine due to an extreme secularism and to modern philosophical trends (Hans Jonas and the responsibility for the future and on the other hand modern utilitarism). PMID:9036685

  8. [Crisis in medical ethics].

    Science.gov (United States)

    Stellamor, K

    1996-01-01

    There is a disproportion between diagnostic and therapeutic medical achievements and the doctor/patient relationship. Are we allowed to do everything we are able to do in medicine? People are concerned and worried (genetic technology, invasive medicine, embryos in test tubes etc.). The crisis of ethics in medicine is evident. The analysis of the situation shows one of the causes in the shift of the paradigma-modern times to postmodern following scientific positivism-but also a loss of ethics in medicine due to an extreme secularism and to modern philosophical trends (Hans Jonas and the responsibility for the future and on the other hand modern utilitarism).

  9. Finnish care integrated?

    Directory of Open Access Journals (Sweden)

    Jouni Niskanen

    2002-06-01

    Full Text Available The public Finnish social and health care system has been challenged by the economic crisis, administrative reforms and increased demands. Better integration as a solution includes many examples, which have been taken to use. The most important are the rewritten national and municipals strategies and quality recommendations, where the different sectors and the levels of care are seen as one entity. Many reorganisations have taken place, both nationally and locally, and welfare clusters have been established. The best examples of integrated care are the forms of teamwork, care management, emphasis on non-institutional care and the information technology.

  10. The Experiences of Mothers with Asthmatic Children: A Content Analysis

    Directory of Open Access Journals (Sweden)

    Mohadeseh Mohsenpour

    2012-08-01

    Full Text Available Introduction: Having children with chronic diseases such as asthma creates conditions that cause emotional and behavioral problems in parents. In most families, the mother tends to have the first role in caring for her child and therefore mothers endure greater psychological pressure than other family members. These mothers' experiences and problems are different due to cultural and economic differences and the health services they receive. This study aimed to explore the experiences of mothers of an asthmatic child. Methods: In this qualitative study data was collected through unstructured, in-depth interviews with 10 mothers who had an asthmatic child. The Graneheim and Lundman's qualitative content analysis method was used for analyzing the data. Results: The analysis of data showed five main themes including constant concern, feel-ing of having an unusual life, the need for help from others, feeling of guilt, and the de-sire to constantly monitor the child. Conclusion: The mothers of asthmatic children ex-pressed feelings and experiences that demonstrated their need for support and empathy. Therefore, in addition to the necessity of developing strategies to support these mothers, future studies aiming to reveal methods to provide them with support are also required.

  11. Infant sleeping arrangements and cultural values among contemporary Japanese mothers

    Science.gov (United States)

    Shimizu, Mina; Park, Heejung; Greenfield, Patricia M.

    2014-01-01

    We examined infant sleeping arrangements and cultural values of Japanese mothers in 2008 and 2009. Based on Greenfield's theory of social change and human development, we predicted that social change in Japan over the last decades (higher economic and education level, urbanization, complex technology, more women in the work force) would lead to a decline in mother-infant co-sleeping, compared with published findings concerning Japanese sleeping arrangements in the 1960s and 1980s. We also predicted that the practice of having babies sleep in their own beds and/or own rooms would be supported by ethnotheories stressing infant independence and other values adaptive in an urban, technologically sophisticated, relatively wealthy, and highly educated populace. Fifty-one Japanese mothers' comments posted on Internet parenting forums were analyzed. Contrary to our hypothesis, co-sleeping was as frequent among Japanese mothers in 2008-2009 as it had been in the 1960s and 1980s. However, analysis of the values of co-sleeping mothers revealed frequent discrepancies between values and practices. In contrast, the minority of mothers whose babies slept alone in a separate room all expressed consonant values. Our qualitative analysis indicates that it is not always easy for Japanese mothers to construct values for child rearing and gender roles that integrate traditional infant care practices with current sociodemographic conditions. PMID:25191281

  12. Depression during gestation in adolescent mothers interferes with neonatal neurobehavior

    Directory of Open Access Journals (Sweden)

    Marina Carvalho de Moraes Barros

    2013-12-01

    Full Text Available Objective: To compare the neurobehavior of neonates born to adolescent mothers with and without depression during gestation. Methods: This prospective cross-sectional study included healthy term neonates born to adolescent mothers with untreated depression during gestation, without exposure to legal or illicit drugs, and compared them with infants born to adolescent mothers without psychiatric disorders. Maternal psychiatric diagnoses were assessed by the Composite International Diagnostic Interview (CIDI 2.1 and neonatal neurobehavior by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS at 24 to 72 hours of life. Neurobehavioral outcomes were analyzed by ANOVA adjusted for confounders. Results: 37 infants born to mothers with depression during gestation were compared to 332 infants born to mothers without psychiatric disorders. Infants of mothers with depression had smaller head circumferences. Significant interactions of maternal depression and male gender, gestational age > 40 weeks, regional anesthesia during delivery, vaginal delivery, and infant head circumference ≥ 34 cm were found. Worse performance was noted in the following neonatal neurobehavioral parameters: arousal, excitability, lethargy, hypotonicity, and signs of stress and abstinence. Conclusion: Infants born to adolescent mothers with depression exhibit some behavioral changes in the first days of life. These changes are associated with infant sex, gestational age, type of anesthesia, mode of delivery, and head circumference.

  13. Comunicação não-verbal durante cuidados prestados aos filhos por mães com Vírus da Imunodeficiência Humana Comunicación no-verbal durante cuidados prestados a los hijos por madres con Virus de la Inmunodeficiencia Humana Non-verbal communication during child care by mothers with Human Inmunodeficiency Virus

    Directory of Open Access Journals (Sweden)

    Simone de Souza Paiva

    2010-01-01

    cuidados, promoviendo estímulos para el desarrollo infantil.PURPOSE: To examine the non-verbal communication during child care by mothers with the human immune deficiency virus (HIV. METHODS: This study was conducted in the second semester of 2007 in an experimental setting with 5 HIV positive mothers. Data were collected through videotaping during child care such as bathing, clothes changes, feeding, playing, and cuddling. Data analysis focused on the aspects of non-verbal communication. RESULTS: Statistical analysis indicated differences between the mother and the child in all aspects of non-verbal communication during child care. Clothes changes and bathing were the most instrumental child care. Non-verbal communication is used by mothers to show affection and to perceive abnormalities. CONCLUSION: The study's findings suggest the need to encourage mothers to interact with the child during all aspects of child care to promote normal child development.

  14. Baby worries : A randomized controlled trial of mother-infant psychoanalytic treatment

    OpenAIRE

    Salomonsson, Björn

    2010-01-01

    Aims: This thesis had three aims. (1) To explore a new treatment method of baby worries or mother-infant relational disturbances; mother-infant psychoanalytic treatment (MIP). The exploration focused on clinical applicability and underlying theory. (2) To investigate a method of assessing infant functioning by a mother-report questionnaire on infant social and emotional functioning. (3) To compare outcomes of MIP treatments with the usual Child Health Centre care (CHCC) in...

  15. Universal salt iodization is successful in Kashmiri population as iodine deficiency no longer exists in pregnant mothers and their neonates: Data from a tertiary care hospital in North India

    OpenAIRE

    Bashir Ahmed Charoo; Riyaz Ahmed Sofi; Sobia Nisar; Shah, Parvaiz A; Shenaz Taing; Henaan Jeelani; Fayaz Ahmed; Shameem Parveen; Zaffar Amin Shah; Syed Mudasir; Masood Malik; Mohd Ashraf Ganie

    2013-01-01

    Introduction: Normal pregnancy results in a number of important physiological and hormonal changes that alter thyroid function. In pregnancy, the thyroid gland being subjected to physiological stress undergoes several adaptations to maintain sufficient output of thyroid hormones for both mother and fetus. Consequently, pregnant women have been found to be particularly vulnerable to iodine deficiency disorders (IDD), and compromised iodine status during pregnancy has been found to affect the t...

  16. En Alto Riesgo: La Crisis De La Salud Pública En El Instituto Materno Infantil De Bogotá.

    OpenAIRE

    César ernesto abadía barrero.; Héctor gabriel navarrete.; Adriana gisela martínez parra.; María yaneth pinilla alfonso

    2006-01-01

    This article examinesthe impact of the economic crisis of the instituto materno infantil, colombia, on patients and workers. Families comment on the quality and warmth of health care provided; however, healthcare workers act as buffers protecting patients from the full impact of the crisis. in addition, delays in workers' payments have worsened their quality of life and forced them to look for additional income. We discuss connections between the economic crisis of public hospitals and struct...

  17. A Third Wave of Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ If we label the sub-prime mortgage crisis that broke out in the United States in March 2007 and the financial meltdown triggered by Lehman Brothers'bankruptcy in August 2008 as the first two phases of the global financial crisis,then we're,without a doubt,entering a third phase.

  18. Varieties of capitalism in crisis?

    DEFF Research Database (Denmark)

    Bruff, Ian; Horn, Laura

    2012-01-01

    In this introduction to the special issue, we provide a brief overview of the two distinct but connected meanings of the phrase ‘varieties of capitalism in crisis’: (1) the crisis of empirical political economies under conditions of capitalist diversity; and (2) the crisis of the institutionalist...

  19. Regulating Finance After the Crisis

    DEFF Research Database (Denmark)

    Moschella, Manuela; Tsingou, Eleni

    2013-01-01

    It is now widely recognized that regulatory failures contributed to the onset of the global financial crisis. Redressing such failures has, thus, been a key policy priority in the post-crisis reform agenda at both the domestic and international levels. This special issue investigates the process ...

  20. The concept of crisis migration

    Directory of Open Access Journals (Sweden)

    Jane McAdam

    2014-02-01

    Full Text Available "Crisis migration needs to be understood in terms of ‘tipping points’, which are triggered not just by events but also by underlying structural processes. It is important for policymakers for there to be an adequate theory behind the concept of ‘crisis migration’ so that responses are appropriate, timely and thoughtful. "

  1. School Buildings in Today's Crisis

    Science.gov (United States)

    Blyth, Alastair

    2009-01-01

    To get a picture of the impact of the current economic and financial crisis on educational building programmes so far, the OECD Centre for Effective Learning Environments (CELE) has been conducting a survey of member countries and regions. The survey focuses on three main issues: the impact of the crisis on publicly funded projects, the impact on…

  2. Organizational Learning and Crisis Management

    Science.gov (United States)

    Wang, Jia

    2007-01-01

    The impact of crises on organizations has been stronger than ever. This article explores the role of organizational learning in crisis management, an area that has received little attention from HRD community. Recognizing the dynamics and interconnectedness of crisis management, organizational learning, and organizational change, the article…

  3. Visión de las madres en el cuidado del hijo prematuro en el hogar Visão das mães no cuidado do filho prematuro em casa Vision of mothers in care of premature babies at home

    Directory of Open Access Journals (Sweden)

    Nubia Castiblanco López

    2011-07-01

    e analisada segundo a entrevista e análises etnográficos de James Spradley. Participantes: oito mães de recém nascidos prematuros que compareceram para controle no Programa Mãe Canguru Integral, Hospital Universitário São Ignácio, entre novembro de 2007 e maio de 2008. Resultados: surgem duas questões: cuidados diretos ao recém nascido prematuro e o caminho até a adaptação. O cuidado direto ao recém nascido prematuro em casa implica para a mãe carregar, massagear, proteger do frio, alimentar à criança, manter a higiene, conservar a proteção do médio, dar amor, suprir oxigeno suplementar ao bebê quando o precisar e saber sobre os sinais da criança. O caminho para a adaptação materna está dirigido a um objetivo para as mães: "criar a criança". Elas expressam que as noites são muito difíceis e expressam seus sentimentos e finalmente descrevem a adaptação materna ao hábito. Conclusão: a visão das mães sobre o cuidado do recém nascido prematuro é universal: "cuidar muito da criança" e ficar sempre atenta; por outro lado, a conotação de cuidado é diversa porque cada mãe o cataloga, desde sua própria percepção, como cuidado extremo, básico, essencial e especial. Também as mães compartilharam crenças, valores, tradições e mitos.Purpose: To describe the significance of taking care of premature babies at home for mothers, from their cultural context. Design: qualitative ethnographic study based on Madeleine Leininger's theory. Sample: Information obtained from observation and 23 interviews to mothers at home was collected and analyzed in accordance to the interview and James Spradley ethnographic analysis. Participants: eight mothers of premature newborns attending control at the Integral Kangaroo Mother Program (Programa Madre Canguro Integral, Hospital Universitario San Ignacio, between November 2007 and May 2008. Results: Two subjects arise: premature newborn care and the way to adaptation. Direct care to premature

  4. Analysing Maternal Employment and Child Care Quality

    NARCIS (Netherlands)

    Akgündüz, Yusuf

    2014-01-01

    The contributions in this thesis revolve around mothers' employment and child care quality. The first topic of interest is how mothers' employment is affected by modern child care services and parental leave entitlements. There is already an extensive literature on the effects of modern social polic

  5. Crisis management: some opportunities.

    Science.gov (United States)

    Kupperman, R H; Wilcox, R H; Smith, H A

    1975-02-01

    Modern crises present decision makers with many agonizing management choices. Very often a crisis manager is confronted with a plethora of conflicting information and given very little time to choose an appropriate course of action. Although contemporary methods of systems analysis have been used in attempts to organize data and clarify options, they have generally been of little use in presenting an accurate picture of an opponent's values and perceptions. Thus it is clear that we must now make use of the improved communications and technological devices at our disposal if crises are to be avoided or resolved with minimum damage. Our proposal to establish international model-oriented computer-assisted conferences is designed to promote greater cooperation and understanding among scientists and crisis managers of differing nations by enabling them to share images of themselves and one another. With better information and more rational options available, the chances of catastrophic misunderstanding or miscalculation can be meaningfully reduced. We have proposed a possible scenario for the initial implementation of such a system to combat famine, and hope that the same approach might be used in other areas over time. The ultimate goal is a system by which specialists of all persuasions cooperate so that international crises will be resolved on the bases of mutual benefits without resort to armed conflict. PMID:17835296

  6. The Mediterranean salinity crisis

    Energy Technology Data Exchange (ETDEWEB)

    Hsue, K.J.

    1988-08-01

    That the Mediterranean Sea underwent a salinity crisis during the Miocene (Messinian) is proven by the 1970 JOIDES deep sea drilling expedition. Subsequent work by ocean drilling and by studies on land have recorded the history of this crisis. Based upon the deep desiccated-basin model, the use of event-stratigraphy, calibrated by strontium-isotope dating and magnetostratigraphy, has enabled them to decipher the following events between 6.0 and 5.1 Ma: (1) deposition of marine diatom-rich sediments in a partially restricted basin, (2) first desiccation of the Mediterranean when Calcare di base was deposited at a time of isolation from the Atlantic because of a glacial eustatic drop of sea level, (3) influx of marine waters through southern Spanish basins to furnish brines for the deposition of the main salt, (4) Intra-Messinian desiccation, as evidenced by the erosional unconformity above the lower evaporite, (5) Intra-Messinian denudation, when reefs grew on Cyprus and marine sediments were deposited in basins, (6) frequency isolations due to oscillating sea level, when the upper evaporite was deposited, (7) Lago mare, formation of freshwater and brackish lakes due to influx of Paratethys water, (8) opening of the Gibraltar and Pliocene inundation of the Mediterranean.

  7. Crisis ambiental y cristianismo

    Directory of Open Access Journals (Sweden)

    Felipe Cárdenas

    2008-01-01

    Full Text Available En el artículo se identifican y reconocen algunas opciones que se pueden desarrollar en el cristianismo en relación con la problemática ambiental. Se aborda el dilema bíblico suscitado por interpretaciones antiecológicas y ecológicas. Con base en una lectura de la Biblia, de testimonios cristianos, y en una rememoria de estructuras institucionales, como la parroquia, se analiza el valor que tiene el mensaje cristiano en lo referido a la mitigación de la crisis ambiental.This article identifies and recognizes some options that can be developed in Christianity in relation to the environmental problem. It starts by analyzing the biblical dilemma provoked by both ecological and antiecological interpretations. Based on a reading of the Bible, testimonies from Christians and with a rememory of institutional structures, like the parish, the valué of the Christian message for mitigating the environmental crisis is analyzed.

  8. Credibility and Crisis Stress Testing

    Directory of Open Access Journals (Sweden)

    Li Lian Ong

    2014-02-01

    Full Text Available Credibility is the bedrock of any crisis stress test. The use of stress tests to manage systemic risk was introduced by the U.S. authorities in 2009 in the form of the Supervisory Capital Assessment Program. Since then, supervisory authorities in other jurisdictions have also conducted similar exercises. In some of those cases, the design and implementation of certain elements of the framework have been criticized for their lack of credibility. This paper proposes a set of guidelines for constructing an effective crisis stress test. It combines financial markets impact studies of previous exercises with relevant case study information gleaned from those experiences to identify the key elements and to formulate their appropriate design. Pertinent concepts, issues and nuances particular to crisis stress testing are also discussed. The findings may be useful for country authorities seeking to include stress tests in their crisis management arsenal, as well as for the design of crisis programs.

  9. Analysing Maternal Employment and Child Care Quality

    OpenAIRE

    Akgündüz, Yusuf

    2014-01-01

    The contributions in this thesis revolve around mothers' employment and child care quality. The first topic of interest is how mothers' employment is affected by modern child care services and parental leave entitlements. There is already an extensive literature on the effects of modern social policies such as child care services and parental leave entitlements. A related second topic is how child care quality is produced and influenced by policy measures. Positive findings from the UK and US...

  10. Child Care Arrangements and Labor Supply

    OpenAIRE

    Del Boca, Daniela

    2015-01-01

    This paper discusses several approaches to examining the relationship between child care and mothers' labor supply. The focus is on child care for children aged 0-3, because this is a critical period for working mothers and their children and because most European and American households with children aged 3-5 already use child care centers. The paper provides data concerning availability of, government spending on, and quantity and quality standards for child care in different countries, the...

  11. Why Should We Care about Child Care? [Video].

    Science.gov (United States)

    Families and Work Inst., New York, NY.

    Produced as a touchstone for the White House Conference on Child Care, this brief video (5 minutes) presents a collage of voices speaking on the need for quality child care. The voices include those of parents, physicians and child development experts, and child care workers. Among the threads touched upon by these voices are working mothers, the…

  12. Crisis? What crisis? How European professionals handle crises and crisis communication

    NARCIS (Netherlands)

    P. Verhoeven; R. Tench; A. Zerfass; A. Moreno; D. Verčič

    2013-01-01

    A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly

  13. CURRICULUM GUIDE, CHILD CARE CENTERS.

    Science.gov (United States)

    California State Dept. of Education, Sacramento.

    CALIFORNIA CHILD CARE CENTERS WERE ESTABLISHED IN 1943 TO SUPPLY SERVICES TO CHILDREN OF WORKING MOTHERS. THE CHILD CARE PROGRAM PROVIDES, WITHIN NURSERY AND SCHOOLAGE CENTERS, CARE AND EDUCATIONAL SUPERVISION FOR PRESCHOOL AND ELEMENTARY SCHOOL AGE CHILDREN. THE PHILOSOPHY OF THE CHILD CENTER PROGRAM IS BASED UPON THE BELIEF THAT EACH CHILD…

  14. Socialization in Context: Exploring Longitudinal Correlates of Mothers' Value Messages of Compassion and Caution

    Science.gov (United States)

    Wray-Lake, Laura; Flanagan, Constance A.; Maggs, Jennifer L.

    2012-01-01

    This study examined correlates of mothers' value messages using mother and adolescent reports across 3 years (N =1,638 dyads). Two fundamental socialization dimensions were assessed: compassion messages (e.g., caring for others) and caution messages (e.g., being wary of others). Multilevel models revealed distinct between-person and within-person…

  15. Doulas' Perceptions on Single Mothers' Risk and Protective Factors, and Aspirations Relative to Child-Birth

    Science.gov (United States)

    Arat, Gizem

    2013-01-01

    This study the author aims to explore the perceptions of doulas on single mothers' risk and protective factors, and aspirations relative to child-birth in the postpartum care. The current study was conducted by semi-structured questions, case file reviews, field notes, and twelve home visits via utilizing Grounded Theory. These mothers receive…

  16. Beyond the Call: Mothers of Children with Developmental Disabilities Responding to Sexual Abuse

    Science.gov (United States)

    Stewart, Catherine Carolyn

    2012-01-01

    A qualitative, interdisciplinary study was undertaken to examine the experiences of mothers of children with developmental disabilities who were sexually abused. In-depth interviews were conducted with four mothers, their children, and the professionals involved with each case. The dual impact of caring for a child with a disability together with…

  17. Perceptions and Satisfaction with Father Involvement and Adolescent Mothers' Postpartum Depressive Symptoms

    Science.gov (United States)

    Fagan, Jay; Lee, Yookyong

    2010-01-01

    This study examined the associations between adolescent mothers' postpartum depressive symptoms and their perceptions of amount of father care giving and satisfaction with father involvement with the baby. The sample included 100 adolescent mothers (ages 13-19; mainly African-American and Latina) whose partners were recruited for a randomized…

  18. The Accounting Network: how financial institutions react to systemic crisis

    CERN Document Server

    Flori, Andrea; Puliga, Michelangelo; Chessa, Alessandro; Pammolli, Fabio

    2016-01-01

    The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies' financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001-2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio) capable of trading off the size of the sample (coverage) and the representativeness of the financial statements (accuracy). We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible region...

  19. Depression and Anxiety in Iranian Mothers of Children with Epilepsy

    Directory of Open Access Journals (Sweden)

    Atefeh SOLTANIFAR

    2012-03-01

    Full Text Available bjectiveEpilepsy is a common neurological disorder in children. Parents with epileptic children have many psychosocial care needs. So the main goal of this study was to evaluate depression and anxiety in Iranian mothers with epileptic children.Materials & MethodsWe identified 30 mothers of children with epilepsy and 30 mothers of children without epilepsy with children aged between 8 and 12 years who met the study criteria. In all children with epilepsy, the mothers were the main caregivers and all these children lived in two-parent families. Children in the control group were in the same age. Ninety-eight percent of children in the control group lived in two-parent families with the mother as the main caregiver. All mothers fulfilled the Beck Depression Inventory (BDI and Spielberger State-Trait Anxiety Inventory.ResultsAccording to these data, BDI scores were significantly higher in the mothers of epileptic children (mean of Beck score=16.5 compared to the control group (mean of Beck score=9.8. The total, Spielberger State-Trait Anxiety Inventory scores for mothers of children with epilepsy were 100.3, 51.7 and 48.6. However, these scores in the control group were 86.9, 45.1 and 41.8. These differences were statistically significant.In a second analysis, using the demographic data, we did not find any statistically significant relation between anxiety or depression and the mothers’ job, children’s medication and other demographic variables.ConclusionNeurologists and psychiatrists need to develop better programs for adequate management of psychiatric disorders in mothers with epileptic children.

  20. What new mothers need to know: perspectives from women and providers in Georgia.

    Science.gov (United States)

    Gazmararian, Julie A; Dalmida, Safiya George; Merino, Yesenia; Blake, Sarah; Thompson, Winifred; Gaydos, Laura

    2014-05-01

    Identifying the educational and resource needs of new mothers is of paramount importance in developing programs to improve maternal and child health outcomes. The primary purpose of this study was to explore the educational needs of new mothers and identify opportunities to enhance healthcare providers' current educational efforts. A two-part methodology was utilized to qualitatively explore the topic of parenting information needs for new mothers in Georgia. Data collection included information from 11 focus groups with 92 first-time, new mothers and 20 interviews with healthcare providers who serve new mothers. Discussions with both new mothers and providers clearly indicated that new mothers face a significant informational deficit, especially regarding very basic, daily infant care information and health literacy challenges. Educational materials already exist; however, mothers report difficulty accessing and understanding this information. For this reason, both the mothers and the providers stressed a focus on developing programs or interventions that allow in-person education and/or alternative modalities to access information, as opposed to development of new written materials solely. Information from the focus group and interviews provided important insight regarding what improvements need to be made to help new mothers and their families during the early stages of parenthood. By improving the education of new mothers and their families, it is proposed that maternal and infant health status could be improved. PMID:23843170